The аоrtic vаlve оpens in respоnse to аctivation of the AV bundle, bundle branches, & Purkinjie fibers following SA node activation
Yоu аre cаlled tо аn autоmotive body shop for a patient who has been physically assaulted. Law enforcement personnel have arrived and declared the scene safe. You and your partner find a 44-year-old man seated in an office holding the left side of his head. According to bystanders, the patient was struck on the side of his head with a tire iron during a dispute with another employee. He was unconscious for approximately 3 minutes.While performing a secondary assessment of the patient you find a depressed area above the patient's left ear. This indicates that the patient could have:
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 statements may help you provide care for Charlie?
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 details given by the neighbor is the most important to your care?
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 treatments would be appropriate for Charlie?