You have been dispatched to assist a BLS unit on the scene of a crash approximately 10 miles outside town. The BLS crew reports that they have a 55-year-old female involved in a single-vehicle crash. Her blood pressure is 90/60, her heart rate 120, and her respiratory rate 20. She has multiple significant injuries. You are 15 minutes by ground from a Level 1 trauma center. That center does have a helicopter. What is your best action?
A) Call for the helicopter and wait for it to arrive. Provide aggressive treatment until then.
B) Call for the helicopter to meet you halfway.
C) Do not call for the helicopter, because by the time it would arrive you could almost be at the hospital.
D) Call medical control and ask the trauma doctor what you should do.
Question 2
Your patient is a 78-year-old male who was found lying on his bathroom floor. Emergency Medical Responders report that the patient is unresponsive with unequal pupils, and vital signs are as follows: pulse 78, respirations 20 and snoring, blood pressure 210/106, SpO2 at 99. The EMRs have applied oxygen by nonrebreather, and also report that the patient has a hematoma on the back of his head. Which one of the following should you do first?
A) Replace the nonrebreather with a nasal cannula.
B) Quickly apply a cervical collar.
C) Ensure an open airway with a jaw-thrust maneuver.
D) Lift the patient onto the stretcher for transport.
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Emergency crash cart.
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