EMTB9e: Assessment in Action: All Chapters

Link: AAOS

Link: Jones and Bartlett Publishers

Interactivities: Assessment in Action: All Chapters

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Interactive Skill Drills

Assessment in Action

Ambulance Calls

9-1-1 Scenarios

Videos: Skills in Action

Cover

Read the scenario and ask yourself, What would I do?

Scenario:

You are dispatched to a duplex for an "unknown medical emergency." On arrival, you find an unkempt 57-year-old man lying on the couch in a well-furnished living room. He is awake but does not focus on you and seems to be oblivious to what is going on around him. He slowly responds when you speak to him but still seems drowsy as you begin to ask questions.

The woman who met you at the door is apparently his soon-to-be ex-wife. She states that she and the patient have been fighting, and she leaves in a huff. Afterward, the patient tells you that he lost his job 2 months ago and has been unable to find work. He admits that he has probably been drinking too much, and now his wife is telling him that she wants a divorce. He then yells, "I can't take anymore. Enough is enough!"

1: Which of the following characterize this patient's behavior?
	A: A panic attack
	B: An anxiety disorder
	C: Depression
	D: Hallucinations

2: In assessing the patient's potential for violence, which of the following factors concerns you the most?
	A: The patient is talking to you while he is lying on the couch.
	B: The patient yells at you when you ask him about the comment he made.
	C: A family member at the scene reports that the patient has no history of violence.
	D: The patient has a medium physical build and does not appear to have a weapon.

3: This patient may be at risk for suicide. Which of the following are risk factors to assess in determining the probability for suicide?
	A: Does the patient talk about the future in a negative way?
	B: Does the patient challenge you with direct eye contact?
	C: Is the patient unable to talk about the future at all?
	D: Does the patient have a habit of collecting unusual things?

4: An appropriate way to communicate with this patient includes:
	A: using a low, calm voice.
	B: responding to the yelling with a loud voice.
	C: using a commanding tone.
	D: responding with a disinterested, detached voice.

5: Assessment of this patient includes:
	A: taking his shirt off to observe chest rise.
	B: evaluating movement of all four extremities.
	C: listening to lung sounds.
	D: a complete set of vital signs.

6: En route to the emergency department this patient starts screaming at you. While you try and verbally calm him, he turns and physically attacks you. You have the right to:
	A: physically strike him in return.
	B: stop the ambulance and order him out.
	C: use reasonable force to protect yourself.
	D: do whatever it takes to restrain him.

7: With the help of law enforcement, restraints are used on this patient. After the restraints are applied, he suddenly becomes quiet and stops yelling. Which course of action would be appropriate?
	A: Continue to transport.
	B: Assess airway and circulation.
	C: Re-evaluate the security of the restraints.
	D: Document the reasons for the restraints.

8: This patient admits to wanting to end his life and has a plan to do so but he refuses to go to the hospital. When a patient is not mentally competent to grant consent, but he or she is transported anyway, what type of consent is used?
	A: Informed consent
	B: Non-consent
	C: Implied consent
	D: Uninformed consent

All Learning Resources for Chapter 19

Assessment in Action for All Chapters