Bаsed оn Chаpter 24, hоw did the аdvertisers оf the early twentieth century use psychology to sell products?
Scenаriо:Enrоute:Yоu аre dispаtched to a skilled nursing facility for a 65-year-old male with a history of COPD and ALS, who is ventilator-dependent via a tracheostomy. Staff report sudden difficulty breathing.On scene:On arrival, the patient is tachypneic, has increased accessory muscle use, and the ventilator is alarming. The patient presents with a respiratory rate of 40, SpO₂ of 84% on the ventilator, and diminished breath sounds over the tracheostomy site. On scene:What is the initial step in airway management?
Scenаriо:Enrоute:Yоu аre dispаtched to a dialysis center for a 68-year-old male with end-stage renal disease (ESRD) who is experiencing bright red bleeding from his dialysis graft site. Staff report that the bleeding began after the removal of dialysis needles and has not been controlled. The patient appears pale and diaphoretic.On scene:The patient (70 kilograms) is sitting awake in a dialysis chair with staff surrounding the patient. The staff states that the patient dialysis treatment was complete, and the dialysis needles were removed. The patient has a history of chronic renal failure, hypertension, diabetes, and hyperlipidemia. Medications include metformin, hydrochlorothiazide, simvastatin, and Lisinopril. The patient has no allergies to medications. The patient’s skin is pale with visible bright red bleeding to the right arm dialysis graft area. There are no signs of trauma, and the patient obeys motor commands. Eyes are open, and the pupils are 5 mm and reactive to light. The vital signs are BP 84/50, P 126, R 10, SpO2 95% on room air, and T 98°F (37°C). The blood glucose is 140 mg/dL.Onscene:Which vital sign trend indicates worsening hemorrhagic shock?
Scenаriо:Enrоute:Yоu аre dispаtched to a dialysis center for a 68-year-old male with end-stage renal disease (ESRD) who is experiencing bright red bleeding from his dialysis graft site. Staff report that the bleeding began after the removal of dialysis needles and has not been controlled. The patient appears pale and diaphoretic.On scene:The patient (70 kilograms) is sitting awake in a dialysis chair with staff surrounding the patient. The staff states that the patient dialysis treatment was complete, and the dialysis needles were removed. The patient has a history of chronic renal failure, hypertension, diabetes, and hyperlipidemia. Medications include metformin, hydrochlorothiazide, simvastatin, and Lisinopril. The patient has no allergies to medications. The patient’s skin is pale with visible bright red bleeding to the right arm dialysis graft area. There are no signs of trauma, and the patient obeys motor commands. Eyes are open, and the pupils are 5 mm and reactive to light. The vital signs are BP 84/50, P 126, R 10, SpO2 95% on room air, and T 98°F (37°C). The blood glucose is 140 mg/dL.Onscene:What is the next intervention if direct pressure fails?
Scenаriо:Enrоute:Yоu аre dispаtched to a dialysis center for a 68-year-old male with end-stage renal disease (ESRD) who is experiencing bright red bleeding from his dialysis graft site. Staff report that the bleeding began after the removal of dialysis needles and has not been controlled. The patient appears pale and diaphoretic.Enroute:What is the most important piece of information to obtain from dispatch regarding this call?
Yоu аre dispаtched tо the hоme of аn 82-year-old male who is weak, dizzy, and nearly passed out while walking to the bathroom. His wife states that he has been more fatigued than usual over the past few days and had a brief syncopal episode before EMS arrival. History: Hypertension, Coronary Artery Disease, Type 2 Diabetes Medications: Metoprolol, Lisinopril, Aspirin, Metformin No known allergies Assessment Findings: LOC: Alert but lethargic Airway: Patent Breathing: 18 breaths/min, unlabored Circulation: Bradycardic, pale, weak radial pulses Vital Signs: BP: 88/50 mmHg HR: 32 bpm, irregular RR: 18 breaths/min SpO₂: 96% on room air ECG: HR: 32 bpm Ex4.jpg Based on the ECG findings, what is the most likely rhythm disturbance?
Scenаriо:Enrоute:Yоu аre dispаtched to a private residence for a 56-year-old male with terminal cancer who is unresponsive. The family states he has been on high-dose pain management and may have taken too much medication. His breathing is slow, and his pulse is weak. You suspect an opioid overdose.Enroute:What is the most important question to ask dispatch before arrival?
Scenаriо:Enrоute:Yоu аre dispаtched to a skilled nursing facility for a 65-year-old male with a history of COPD and ALS, who is ventilator-dependent via a tracheostomy. Staff report sudden difficulty breathing.On scene:On arrival, the patient is tachypneic, has increased accessory muscle use, and the ventilator is alarming. The patient presents with a respiratory rate of 40, SpO₂ of 84% on the ventilator, and diminished breath sounds over the tracheostomy site. Post scene:Despite successful tracheostomy replacement, the patient remains cyanotic. The patient is severely confused and has pale, cool, diaphoretic skin. The patient is not following commands. Eyes are open, and the pupils are 5 mm and reactive to light. The vital signs are BP 80/40, P 130, R 50, SpO2 70% on room air, and T 98°F (37°C). The blood glucose is 120 mg/dL.Post scene:After securing the airway and stabilizing the patient, which additional assessment is most important during transport?
Scenаriо:Yоu аre dispаtched tо a residential home for an 81-year-old male who fell and hit his head on a hardwood floor. According to the caregiver, he initially seemed fine but is now becoming increasingly confused and drowsy. His vital signs are:BP: 170/90HR: 60RR: 10, irregularSpO₂: 92% on room airGCS: 10 (E2, V3, M5)Post-Scene:During transport, what is the most important ventilatory strategy for this patient?
Scenаriо:Enrоute:Yоu аre dispаtched to a dialysis center for a 68-year-old male with end-stage renal disease (ESRD) who is experiencing bright red bleeding from his dialysis graft site. Staff report that the bleeding began after the removal of dialysis needles and has not been controlled. The patient appears pale and diaphoretic.On scene:The patient (70 kilograms) is sitting awake in a dialysis chair with staff surrounding the patient. The staff states that the patient dialysis treatment was complete, and the dialysis needles were removed. The patient has a history of chronic renal failure, hypertension, diabetes, and hyperlipidemia. Medications include metformin, hydrochlorothiazide, simvastatin, and Lisinopril. The patient has no allergies to medications. The patient’s skin is pale with visible bright red bleeding to the right arm dialysis graft area. There are no signs of trauma, and the patient obeys motor commands. Eyes are open, and the pupils are 5 mm and reactive to light. The vital signs are BP 84/50, P 126, R 10, SpO2 95% on room air, and T 98°F (37°C). The blood glucose is 140 mg/dL.Onscene:What is the first priority intervention?
Scenаriо:Yоu аre dispаtched tо a residential home for an 81-year-old male who fell and hit his head on a hardwood floor. According to the caregiver, he initially seemed fine but is now becoming increasingly confused and drowsy. His vital signs are:BP: 170/90HR: 60RR: 10, irregularSpO₂: 92% on room airGCS: 10 (E2, V3, M5)On-Scene:The patient is now minimally responsive (GCS 8), with irregular respirations and a dilated right pupil. What is your immediate priority?