A 3-year-old had a seizure, prompting his mother to call 911. When you arrive, the patient is drowsy and difficult to awaken, but he responds to a light pinch of his trapezius muscle with brief eye opening and crying. He is breathing 26 times per minute and has a pulse of 120. His skin is hot, moist, and flushed. You should:
A) place the child in a bathtub of cold water.
B) remove the clothing and sponge the skin with rubbing alcohol.
C) administer blow-by oxygen, remove heavy clothing, and wipe the skin with a cool wet washcloth.
D) ask his mother to administer acetaminophen (Tylenol) or ibuprofen (Motrin) by mouth.
Question 2
One of the three most common sources of conflict between physicians and paramedics is a situation in which:
a. the physician refuses to allow the paramedic to perform a procedure.
b. the physician orders something that the paramedic believes is medically acceptable but morally wrong.
c. the physician requires the paramedic to perform a skill outside the paramedic's scope of practice.
d. the physician requires the paramedic to obtain on-line direction for all advanced procedures.
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