(Solved) Your patient is a paramedic who was shot as she approached a residence on a call. The scene has been

Your patient is a paramedic who was shot as she approached a residence on a call. The scene has been secured. Your patient is a 38-year-old female with one gunshot wound to the left side of her chest at the 5th intercostal space in the mid-axillary line. She is pale, cool, and awake but agitated. She is diaphoretic and complaining of pain in her left side and difficulty breathing. The patient's EMT partner has applied oxygen by nonrebreathing mask and an occlusive dressing over the entry wound before your arrival. As you continue your assessment, the patient's level of consciousness decreases. She responds to verbal stimuli. Her airway is clear, her respiratory rate is 8 per minute and shallow, her neck veins are flat, and her breath sounds are absent on the left side. The patient does not have a radial pulse, and her abdomen is nonguarded and nontender. Which of the following should you do first?
A) Rapid secondary assessment
B) Start two large bore IVs of isotonic crystalloid solution
C) Immediate needle chest decompression
D) Assist ventilations with a bag-valve-mask device

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Your patient is a paramedic who was shot as she approached a residence on a call. The scene has been

Essentials of Paramedic Care Update

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