NREMT EMR First Responder

Category - Patient Assessment

An EMR has responded to an 8-year-old male who has fallen from a platform at school. As the EMR is waiting for the ambulance, he reassesses the patient and notes the following vital signs. Which of the following is most concerning for the possibility of decompensation?
  1. Heart rate of 90 beats per minute
  2. Blood pressure of 130/90
  3. Level of consciousness from alert to arousable to painful stimuli
  4. Heart rate of 120 beats per minute
Explanation
Answer: C - Anytime a patient has a change in mental status, there is a chance that they are deteriorating. All of the vital signs listed are within normal limits for an 8-year-old.
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