You are transporting a patient who was struck in the side of the head with a baseball bat while playing with his friends. your patient is alert and denies any problems, only soreness to the left side of his head where there is a small hematoma forming. the patient requests transport to the local ed, which is a level 3 trauma center down the street. the patient is alert and on o2 via nrbm at 15 lpm. your patient's speech begins to slur and he becomes unconscious. the most appropriate action the emt can do now is: a. stop the ambulance and call for aeromedical evacuation. b.continue treatment and have your partner notify the receiving facility of the change. c.obtain a bgl measurement and continue transport. d.assure a patent airway and divert to a level 1 trauma center.

The parents of a 9-year-old girl bring their daughter to the ed. for the last 12 hours, the child has suffered severe nausea and vomiting, as well as diarrhoea and abdominal cramps. further discussion with the child indicates that she suffers from blurred vision and headache. the parents originally were worried about bringing the child to the ed because they feared deportation since the family are illegal immigrants employed to pick strawberries on a nearby farm. on direct questionning, the parents admit that the child was assisting with spraying crops with pesticides the previous day. none of the family members was wearing any protecting clothing. her bp is 88/48 mmhg, pulse is 90/min, rr 33/min, temp 38 c. the child appears sweaty and confused. auscultation of the lungs reveals a diffuse wheeze bilaterally. pupils are miotic and the child has diffuse muscle weakness. which of the following interventions is the most appropriate treatment? - atropine- charcoal- glucagon- naloxone- exposure: consider organophosphate poisoning, which inhibits cholinesterase and results in accumulation of ach in both muscarinic and nicotinic sites. pralidoxime activates achatropine competes with ach only at muscarinic receptors, but will not reverse nicotinic effectscharcoal = gastric decontaminationglucagon = reverse beta-blocker overdosenaloxone = reverse effects of opioids