While at a public pool obtaining a refusal from a patient who was stung by a bee, you hear screaming. Patrons are waving you over to a 13-year-old boy who hit the diving board with his head while diving and is now in the water motionless. The lifeguard is in the water and informs you that the patient's eyes are open and he is breathing with a pulse, but not talking. Which one of the following should you do next?
A) Position the boy upright against the lifeguard with inline spinal precautions observed during removal from the pool.
B) Instruct the lifeguard to carefully float the boy to the side of the pool so you can assess and immobilize him.
C) Have the lifeguard quickly remove the patient from the pool so assessment and emergency medical care can be given.
D) Pass a cervical collar and long board into the water to immobilize the patient prior to extrication from the water.
Question 2
You are assessing an elderly patient who was just released from the hospital following surgery to replace a knee joint. The patient is complaining of shortness of breath, sharp pain with breathing, and is anxious. Vital signs are: blood pressure 90/66, pulse 110, rate 34. The BEST treatment for this patient is to:
A) administer oxygen, establish an IV, and rapidly infuse fluids.
B) have the patient re-breathe CO2 from a paper bag until ventilations decrease.
C) administer oxygen, establish an IV, and keep TKO unless needed.
D) begin positive pressure ventilation via BVM using 100 percent oxygen.
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.
Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues
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Areas of sclerosis (see arrows) in the white matter of a patient with MS.
(a) Chicken pox vesicles. (b) Chicken pox on back of young patient.
Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum.