Prehospital respiratory scenario


The quiz
You are on an ambulance and respond to a 10-year-old with breathing difficulty. Upon arrival, the child is sitting leaning forward on the couch in obvious respiratory distress. Her heart rate is 140/min BP 106/68 respiratory rate: 40/min Sp02: 86% on room air temp: Afebrile weight: 35kg.


about 3–5 minutes

Question 1 of 6

What should be done immediately for this patient?

Question 2 of 6

In what position should this patient be transported?

Question 3 of 6

What information would help in deciding your next treatment by helping diagnose lower airway obstruction?

Question 4 of 6

What medications would be helpful in the treatment of this patient?

Question 5 of 6

Suddenly the patient’s respiratory rate drops from 40/min to 6/min. What should you do immediately?

Question 6 of 6

Suddenly the patient’s respiratory rate drops from 40/min to 6/min. What should you do immediately?

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The quiz

Correct answers

  • Administer 100% oxygen
  • In a position of comfort for the child. This will usually be the tripod position
  • Lung sounds revealing wheezing or little air movement
  • Nebulized albuterol or nebulized ipratropium
  • Racemic epinephrine (nebulized)
  • Ventilate the patient with a bag valve mask

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