Your patient is a 15-year-old male with a stab wound along the right sternal border at the fourth intercostal space. The patient responds to painful stimuli, and shows little evidence of external bleeding. His respirations are 30, his breath sounds are clear and equal, and his radial pulse is weak and disappears on inspiration. The patient has distended jugular veins and is dyspneic. This patient is most likely suffering from ________ shock due to ________.
A) obstructive, pericardial tamponade
B) hypovolemic, hemothorax
C) distributive, loss of sympathetic nervous tone
D) hypoxic, tension pneumothorax
Question 2
Your EMS system uses the Simple Triage and Rapid Transport (START) system for triaging patients at a multiple-casualty incident. Which item should you include in your triage assessment to determine the order in which patients will receive emergency care?
A) Chief complaint and vital signs
B) Respiratory and perfusion status
C) Level of consciousness and past medical history
D) Chief complaint, vital signs, and past medical history
Patient teaching: mouth and pharyngeal assessment
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