First Impressions
Help! I can't breathe
First 5 minutes
Your Body Your Parts
What would you do?
100

A 60-year-old patient reports dizziness when standing. They are alert while seated, but their skin is pale and cool, and their radial pulse is rapid and weak.

What is high priority? 

100

This term describes inadequate oxygen at the cellular or tissue level.

What is hypoxia?

100

Before approaching a crashed vehicle, the EMT first evaluates hazards and takes this protective action.

What is standard precautions or appropriate PPE?

BSI Scene Safe (body substance isolation )

100

These microscopic structures are the primary sites of gas exchange in the lungs.

What are the alveoli?

100

A patient is breathing 6 times per minute and is cyanotic. You should immediately start treatment with this device.

What is BVM with high flow oxygen?

200

A child is quiet, limp, and does not track you as you enter the room.  

What is Sick/ High Priority?

200

Damage to this part of the brain may directly interfere with the automatic control of breathing.


What is the brainstem or medulla oblongata?

200

A responsive trauma patient is speaking clearly but has severe arterial bleeding from the leg. This problem should be addressed during this portion of the assessment.

What is the primary assessment?

200

This portion of the sternum forms its small inferior tip.

What is the xiphoid process?

200

An unresponsive adult is not breathing normally. You cannot definitely feel a carotid pulse within 10 seconds.  

What is begin CPR?

300

A 32-year-old patient was involved in a minor vehicle crash. They are walking around, deny pain, and have normal airway, breathing, circulation, and mental status.

What is low priority?

300

A patient is breathing adequately but has severe hemorrhage. Despite receiving oxygen, the body may still fail to deliver enough oxygen because it lacks this component.

What are circulating red blood cells or hemoglobin?

300

This scene-size-up finding helps determine whether additional ambulances are needed.

What is the number of patients?

300

This chamber of the heart pumps deoxygenated blood into the pulmonary circulation.

What is the right ventricle?

300

You suspect your patient was exposed to carbon monoxide but has a normal pulse-oximeter reading, adequate chest rise, and clear lung sounds but remains confused and weak. What do you do?

What is administer high flow oxygen via NRB?

400

You have determined your patient has a GCS of 3 but all vitals signs are within normal limits.

What is high priority?

400

A patient is breathing 30 times per minute, but each breath produces minimal chest rise. Despite the rapid rate, this intervention is indicated.

What is positive-pressure ventilation with a BVM?

400

A patient is confused, pale, and breathing rapidly after a fall. Even without knowing the exact injury, these findings establish this transport category.

What is high priority?

400

This potential space surrounds each lung and lies between two layers of membrane.

What is the pleural space?

400

You enter a home for an unconscious patient and find a running generator in the basement. Your partner suddenly reports dizziness. 

What is leave immediately and call for additional resources?  

500

A 20-year-old patient had a seizure before your arrival. They are now alert, but confused, breathing normally, and say they have a seizure disorder and forgot their medication.

What is low priority?

500

A patient has an open airway and adequate respiratory effort, but poor cardiac output prevents oxygenated blood from reaching the tissues. Which part of the oxygen-delivery pathway has failed?

What is perfusion?

500

Figuring this out helps us determine what type of assessment we should perform.

What is MOI/NOI?

500

These hair-like structures move mucus and trapped particles upward toward the pharynx.

What are celia?

500

You are dispatched to a MVC vs. Motorcycle. You may consider doing this while responding.

Call for flight?