It is mid-July аnd yоu аre cаlled fоr a 57-year-оld man who is “acting strangely.” An ALS fire engine has been called and you have been cleared to enter. Police and several bystanders are present in the area. The man is cowering against a wall in an alley. He is wearing a worn and dirty military uniform and boots that seem out of place in this hot weather. His head is bleeding. The patient watches your approach with skepticism and fear in his eyes.Police tell you some kids were blowing up fireworks nearby. According to bystanders, the patient started running around and yelling about an IED. He started fighting with police when they encountered him, but they confirmed he does not have any weapons. The patient pulled away from them and cowered against the wall.A woman comes forward to tell you the patient's name is Charlie and he got back from overseas about 6 months ago. He was in the Army but was medically discharged. He was having problems adjusting to civilian life, and his wife said he has had frequent angry outbursts. She threw him out of the house a few weeks ago. You ask the woman if she is aware of any medical conditions. She states he takes medications for a few conditions but she is not sure what.Charlie allows you to approach but still seems very afraid. You ask him if you can look at the wound on his head and ask him how it happened. He tells you it was from shrapnel from the IED. You ask him if he has any medical problems, takes medication, or has any allergies. He tells you he is allergic to sulfa and has high blood pressure and diabetes, but he has had no medication available. He complains of a headache. You ask him what happened today. He tells you the IED scared him and killed his friend, Nate. You ask him where he is and he seems unsure.Which of the following would be a good technique to use while approaching him?
Yоu аnd yоur pаrtner аre dispatched tо 1284 NW 152 Avenue for a child experiencing respiratory distress. On arrival, a frantic woman meets you at the door and begs you to hurry. She informs you that her 12-year-old son was playing in the backyard when he felt a sudden pain on the back of his leg. You find the child on the back porch, in obvious distress, leaning forward in a chair with his elbows on his knees, struggling to catch his breath. Due to severe dyspnea, he is unable to answer your questions. You also notice that his left arm is in a cast. Your partner immediately applies a nonrebreathing mask as you complete the primary assessment. The child's respirations are rapid and shallow, and his pulse is rapid and thready. His skin is pale with patches of raised red spots on his hands, arms, and face. Your partner conducts a systematic rapid physical exam as you obtain vital signs and a SAMPLE history from the mother. When you inquire about allergies, the mother tells you the child had a very mild reaction to a bee sting several months ago. His medical history also includes asthma, anxiety, and a recent fracture of his arm. Your partner informs you that he heard wheezes in all lung fields and observed additional raised red spots on the child's chest.Which of the following is NOT a method of administering epinephrine that EMTs may use?
Yоu аnd yоur pаrtner аre dispatched tо 1284 NW 152 Avenue for a child experiencing respiratory distress. On arrival, a frantic woman meets you at the door and begs you to hurry. She informs you that her 12-year-old son was playing in the backyard when he felt a sudden pain on the back of his leg. You find the child on the back porch, in obvious distress, leaning forward in a chair with his elbows on his knees, struggling to catch his breath. Due to severe dyspnea, he is unable to answer your questions. You also notice that his left arm is in a cast. Your partner immediately applies a nonrebreathing mask as you complete the primary assessment. The child's respirations are rapid and shallow, and his pulse is rapid and thready. His skin is pale with patches of raised red spots on his hands, arms, and face. Your partner conducts a systematic rapid physical exam as you obtain vital signs and a SAMPLE history from the mother. When you inquire about allergies, the mother tells you the child had a very mild reaction to a bee sting several months ago. His medical history also includes asthma, anxiety, and a recent fracture of his arm. Your partner informs you that he heard wheezes in all lung fields and observed additional raised red spots on the child's chest.What is the term for a raised, swollen, well-defined area of skin caused by an insect bite or allergic reaction?