Paramedic National Registry Practice

A male patient is unconscious, in severe respiratory distress, with rales/rhonchi. What is the appropriate treatment?

1. Provide supplemental oxygen and monitor

2. Intubate and assist ventilations

3. Place in recovery position

4. Administer bronchodilators

The correct answer is: Intubate and assist ventilations

In the scenario described, the patient presents with severe respiratory distress and is unconscious, which indicates a critical situation that requires immediate and effective intervention. Intubation and assisted ventilations are appropriate in this case because the combination of unconsciousness and respiratory distress suggests that the patient's airway is likely compromised, and he might not be able to adequately protect his airway or breathe effectively on his own. Oxygenation alone, as could be provided in the first option, may not be sufficient due to the severity of respiratory distress and the risk of airway obstruction or failure. Using supplemental oxygen without securing the airway could lead to inadequate ventilation and oxygenation. The recovery position, although beneficial for conscious patients who are breathing adequately, would not be appropriate for someone who is unconscious and likely unable to breathe effectively on their own. This position does not ensure airway protection or ventilation. Administering bronchodilators may provide some relief in cases of bronchospasm, but given the patient's severe condition and potential lack of airway protection, it would not address the immediate need for securing the airway and ensuring proper ventilation. Thus, in cases like this, intubation and assisted ventilations are essential to ensure that the patient receives adequate oxygen and that the airway is safeguarded. This approach