You and your EMT partner arrive at the residence of a 50-year-old man who complains of weakness. Your primary assessment reveals that he is critically ill and will require aggressive treatment. The closest hospital is 25 miles away. You should: a. perform a detailed secondary assessment, assess his vital signs, and then transport rapidly.
b. manage all threats to airway, breathing, and circulation and consider requesting an ALS unit to rendezvous.
c. administer oxygen via nonrebreathing mask and obtain as much of his medical history as possible.
d. load him into the ambulance, begin transport, and perform all treatment en route to the hospital.

Lyme disease is caused by a bacterium transmitted to people by deer ticks. deer ticks are almost never born infected with the bacterium, but they can pick it up from feeding on an infected host in any of the tick's three successive stage of development: larva, nymph, adult. once infected, a tick remains infected through any subsequent developmental stages, but since a tick feeds on only one host in each stage, it follows that . people can be infected only by being bitten by a tick that is either in larval stage or in the nymph stage b. people cannot be infected by a tick that picked up the lyme disease bacterium in the adult stage c. it is not possible for a person to be infected by a tick that is in the nymph stage or by a tick that was infected with the bacterium while in the nymph stage d. people infected with the lyme disease bacterium cannot transmit bacterium to adult deer ticks e. only deer ticks that are adults can transmit the lyme disease bacterium to people