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You Have Arrived on the Scene of a Paramedic Who

question 14

Multiple Choice

You have arrived on the scene of a paramedic who was shot as she approached a residence on a call. The scene has since been secured. Your patient is a 38-year-old woman with one gunshot wound to the left side of the chest at the fifth intercostal space in the midaxillary line. She is pale, cool, and awake but agitated. She is diaphoretic and complaining of pain in her left side and difficulty breathing. The patient's EMT partner has applied oxygen by nonrebreather mask and placed an occlusive dressing over the entry wound before your arrival. As you continue your assessment, the patient's level of consciousness decreases. She responds to verbal stimuli. Her airway is clear, her respiratory rate is 38 per minute and shallow, her neck veins are flat, and her breath sounds are absent on the left side. The patient lacks a radial pulse, and her abdomen is non-guarded and non-tender. Which of the following best explains the presentation of this patient?

Definitions:

Work Specialization

The degree to which organizational tasks are subdivided into individual jobs; also known as division of labor.

Division of Labor

The assignment of different parts of a manufacturing process or task to different individuals in order to improve efficiency.

Coercion

The practice of persuading someone to do something by using force or threats.

Resistance to Change

Opposition or reluctance to adapt to new situations, processes, or changes within an organization or environment.