A 24-year-old male was thrown from his dirt bike. He is lying on the ground, conscious, and yelling that his leg hurts. He has an obvious deformity to the mid-shaft femur. Skin is pale, cool, and sweaty. Radial pulses are weak and fast. Vital signs are BP 94/60, pulse 128, respirations 24. What should you do first? A. Apply a traction splint to the injured leg B. Administer high-flow oxygen and treat for shock C. Ask him to rate his pain on a scale of 1 to 10 D. Sit him up to make him more comfortable

You respond to a residence for a 28-year-old male with a reported allergic reaction. On arrival, the patient states he was stung by a bee about 10 minutes ago. He has hives across his chest, audible stridor, and is speaking in short sentences. His BP is 88/60 mmHg, HR is 124, RR is 24, and SpO₂ is 91% on room air. He has a prescribed epinephrine auto-injector but has not used it. Which of the following is the most appropriate next action? A. Apply high-flow oxygen via NRB mask and transport immediately, monitoring en route. B. Assist the patient in administering his epinephrine auto-injector and prepare for rapid transport. C. Administer oral diphenhydramine (Benadryl) from your jump bag and reassess in 5 minutes. D. Place the patient supine with legs elevated and contact medical direction before any intervention.

You and your partner arrive on scene to find a 34-year-old male who was involved in a motor vehicle collision. He is unresponsive, apneic, and has no palpable radial pulse. Your partner begins CPR. Law enforcement on scene informs you that the patient was ejected from the vehicle and found approximately 20 feet away. Which of the following is the most appropriate next action? A. Establish an IV and administer a fluid bolus before moving the patient. B. Apply a cervical collar, transfer to a long backboard, and begin immediate transport. C. Perform a detailed physical exam on scene prior to transport. D. Remain on scene and contact medical direction for further orders.