10/19/2026
FTS | NATIONAL REGISTRY CHALLENGE
PARAMEDIC | AIRWAY
You're dispatched to a private residence for a 58-year-old male who is unconscious.
Upon arrival, you find the patient lying on the living room floor. His wife reports that he has been complaining of back pain for several days and took an unknown quantity of prescription pain medication approximately one hour ago.
The patient is unresponsive to verbal stimuli and responds only to painful stimulation. Snoring respirations are present, and his pupils are pinpoint. You open his airway and insert an appropriately sized OPA, which he tolerates.
Assessment:
- BP: 104/68 mmHg
- HR: 112/min
- RR: 4/min, shallow
- SpOâ‚‚: 76% on room air
- Skin: Pale and cool
What is your MOST appropriate next intervention?
A. Administer 4 mg intranasal naloxone
B. Establish IV access and administer IV fluids
C. Begin assisted ventilations with a BVM and supplemental oxygen
D. Apply a nonrebreather mask at 15 L/min
What's your answer, and WHY?
Awareness | Preparation | Rehearsal
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