You respond to a 68-year-old male who fell and cannot get up. He is conscious and alert. His right leg is externally rotated and shortened. He denies neck or back pain, and the mechanism was a ground-level fall. His blood pressure is 96/60 mmHg, heart rate is 118 bpm, and skin is pale and diaphoretic. Which treatment plan is most appropriate?

A 72-year-old female with a history of heart failure presents with worsening shortness of breath over three days, bilateral crackles in the lung bases, and 3+ pitting edema to the knees. Her oxygen saturation is 90 percent on room air. She also mentions she started a new medication last week but cannot recall the name. Which historical detail is most actionable for the AEMT?

You are called for a 25-year-old female who is 32 weeks pregnant and presents with a sudden severe headache, visual disturbances, and a blood pressure of 166/112 mmHg. She has 2+ proteinuria on dipstick. Which condition is highest on your differential?

A pregnant patient at 34 weeks gestation presents with grouped vesicles on the genitalia and reports a burning sensation. Which infection control concern is most relevant to the neonate if delivery occurs in the field?

You respond to a 58-year-old male who underwent a kidney transplant three years ago and now presents with fever, decreased urine output from his Foley catheter, and tenderness over the transplant site in the right lower quadrant. He takes tacrolimus and prednisone daily. Which is the most important consideration when transporting this patient?

A newborn is delivered through thick meconium-stained amniotic fluid and is vigorous: crying, with good muscle tone, and a heart rate above 100 beats per minute. What is the most appropriate airway management for this newborn?

An AEMT is using an AED on a patient in ventricular fibrillation. After the first shock, the monitor shows an organized narrow-complex rhythm at 70 beats per minute with a palpable pulse. About 30 seconds later the patient becomes pulseless again and the AED indicates a shockable rhythm. What is the MOST appropriate immediate action?

The cardiac monitor on a conscious 44-year-old female with palpitations and a heart rate of 168 bpm shows a regular narrow-complex tachycardia with no clearly visible P waves. Blood pressure is 108/72 mmHg and she is alert. What is the most likely rhythm?

An AEMT using an AED is caring for a conscious 62-year-old male with palpitations and lightheadedness. While pads are being attached, the patient suddenly becomes unresponsive and pulseless. The AED is the only defibrillation device available. What is the MOST appropriate immediate action?

A patient with carbon monoxide poisoning has an SpO2 reading of 97% on a standard pulse oximeter. The AEMT recognizes this reading is unreliable. What is the physiologic reason for this limitation?

An AEMT applies CPAP to a patient with severe asthma. After 5 minutes, the patient’s SpO2 improves from 87% to 93%, but the patient becomes increasingly agitated and complains of difficulty exhaling. What is the most likely concern?

During bag-valve-mask ventilation of a non-intubated adult in respiratory arrest, you notice the abdomen becoming visibly distended after several ventilations. What is the MOST likely cause and the BEST corrective action?

A 19-year-old male was shot in the right chest. He has a 2 cm entry wound. You apply a vented chest seal. During transport, the patient becomes increasingly agitated, his SpO2 drops to 82 percent, and he develops absent breath sounds on the right. His neck veins are flat. BP is 70/40. The chest seal vent appears unobstructed. What does this presentation most likely indicate?

A patient fell 15 feet from a ladder and struck his head. He is now unconscious. His left pupil is 7 mm and non-reactive while his right pupil is 3 mm and reactive. What does this finding most likely indicate?

A 30-year-old female was thrown from a horse and reports upper back pain with tingling in both hands. She is alert and oriented. Which finding most supports the need for spinal motion restriction?

An AEMT is evaluating a pediatric trauma patient after a high-speed ATV collision in a rural area. The nearest trauma center is 45 minutes by ground. A helicopter with a 12-minute flight time is available, but the landing zone has a power line crossing 80 feet to the southeast. The pilot reports wind is from the southwest at 8 mph. Which assessment best guides the air transport decision?

A trauma patient is found prone and unresponsive at the bottom of a staircase. The MOST appropriate way to reposition for assessment is to:

Which of the following interventions falls OUTSIDE the typical AEMT scope as defined by the National EMS Scope of Practice Model?