You encounter an accident on a busy intercity street while on ...

[imanialler]

You encounter an accident on a busy intercity street while on duty. Calling into dispatch, you make note that the occupants of both vehicles are outside, and you request additional units to proceed non-emergently. You approach an elderly male who is rubbing his back and left shoulder. During secondary assessment of past medical history, you make note of several important details: the patient is on high blood pressure medications, and has had a heart attack in the past. He is complaining of midline thoracic pain on palpation of his spine and left shoulder pain, which may have been from the seat belt, but is refusing care and transport. The patient did not lose consciousness. Based on this information, which transport decision would be most appropriate for this patient?
 
  A) Take the patient to a trauma center. B) Call for ALS intercept.
  C) Take the patient to a local community hospital. D) Allow the patient to sign a refusal.

Question 2

Why are uncuffed endotracheal tubes sometimes used on infants and children less than eight years old?
 
  What will be an ideal response?

[Chelseyj.hasty]

Answer to Question 1

C

Answer to Question 2

The narrowest part of the child's airway is below the glottis at the cricoid ring. This structure can form a functional cuff on the endotracheal tube.