Wheezes, rales and rhonchi
It has been a nice summer evening and your sleep is interrupted at 1 a.m. by a pager tone. You are going to a rural address for a man suffering from chest pain and acute SOB. You arrive at a farm house where a 75-year-old male is sitting outside on his scooter awaiting your arrival. He appears to be posturing/tripodding and looks as if he is having trouble catching his breath. On your sixth sense of sick versus not sick says he is sick. He is able to speak in three to four word sentences and he says this has never happened to him before. He apparently awoke from sleep because he couldn't breathe well. He denies any chest pain now but complains more of a pressure sensation to his middle chest area. You notice his skin is pale and diaphoretic.
You are a paramedic student on your practicum and the rest of your crew includes an experienced paramedic (ACP) and an experienced EMT (PCP). You don’t have much for backup in your local area but the police and fire are always an option when all hell breaks loose.
The foundation of prehospital care is basic life support (BLS). You recognize good BLS interventions and skills are essential prior to moving on to advanced life support (ALS) interventions. For this quiz, odd-numbered questions relate to BLS and the even questions relate to ALS.