The mother of a four-year-old boy states that he fell off the top bunk bed and hit his head. After falling, he appeared to seize for approximately 30 seconds. Presently he has non-purposeful movement to painful stimuli, with a patent airway and slow respirations. His radial pulse is intact, and his skin is warm and dry. You note urinary incontinence. After taking manual inline spinal stabilization, which one of the following should you do immediately?
A) Perform a head-tilt/chin-lift and administer high-concentration oxygen.
B) Apply oxygen, fully immobilize the patient, and them initiate rapid transport.
C) Insert an oropharyngeal airway and provide high-concentration oxygen.
D) Perform a jaw-thrust maneuver and start positive pressure ventilation.
Question 2
You are called for an 18-year-old woman with dyspnea with sharp chest pain. Your assessment shows she has cramps in her hands and fingers. How should you treat this patient?
A) Administer a dose of three baby aspirin.
B) Have her breathe slowly into a paper bag.
C) Coach her to use her diaphragm to breathe.
D) Administer an albuterol treatment.
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CT scan of the head shows a massive bleed with a midline shift.
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