Chapter 26-29 Quiz – EMT Studies

Q26- You have been called for a young male patient who has been withdrawn. The patient appears depressed and when you ask him if he is thinking about hurting himself, he answers “yes.” The next question asked by the EMT should be:
“Do you have a plan?”

Q26- You are responding to a patient with a behavior problem. While en route, dispatch contacts you and states that there is a mental health delegate at the scene and you will be transporting the patient to the local psych hospital for treatment of her bipolar disorder. On scene which one of the following patient behaviors should help confirm that the patient is suffering from bipolar disorder?
Happy, excessive cheerful, and elated behavior.

Q26- During transport, a female patient who is restrained begins to cry and states that she is sorry for becoming violent and will not behave in that manner anymore. She requests that the restrains be removed because they are hurting her arms and legs. Which one of the following would be appropriate?
Leave the restraints in place until patient care is transferred to the hospital.

Q26- You have been dispatched to transfer a patient with schizophrenia from a hospital emergency department to a psych department at another hospital. While en route, your partner states that he cannot remember what schizophrenia is. You should tell him that schizophrenia is a behavioral disorder commonly characterized by:
delusions and hallucinations.

Q26- Which one of the following patient descriptions would the EMT classify assessing a behavioral emergency?
36 year old male with no known history who is hearing voices.

Q26- An alert and oriented 18 year-old female has threatened to hurt herself, but is refusing transport to the hospital. She is calm and states that she knows her rights and taking her would constitute false imprisonment. Her family is present and wants her to go to the hospital for help. Given the situation and the patient’s threat, what is your best course of action?
Contact law enformcement for assistance.

Q26- You arrive on scene to find that the police have subdued a violent man with a history of behavioral problems. They state they will put the patient on the stretcher. Which one of the following should cause the EMT to take immediate and corrective action?
Patient is placed and restrained in a prone position on the stretcher.

Q26- You have been called to the post office to assist police with a disorderly male. On scene you find a middle-aged man pat stating that he needs to be protected because the CIA is out to get him for something he did not do. Assessing a knowledgeable EMT, you should recognize that the patient’s behavior as:
paranoia.

Q26- You arrive on the scene of a male patient who threatened to take pills to end his life. In talking with the patient, he informs you that he just got a new job that requires more of his time and his wife has been giving him a hard time about it. Tonight, he had enough and just made the comment because he was mad at her. He says that although he is still upset, he doesn’t plan to do anything drastic. Before talking further action, which one of the following facts about the patient should raise the EMT’s suspicion that he is indeed at a higher risk for suicide?
Unsuccessful attempt three years ago.

Q26- While transporting a patient with schizophrenia, he suddenly screams, “Do you see that snake? It is right next to you! Kill it!” How should you respond to this patient?
“I do not see a snake; I see a stethoscope. I do not doubt that you see a snake.”

Q26- You arrive on scene with a patient who up until a few seconds ago was calm and compliant. Now he is brandishing a knife and threatening to kill you and your partner if you do not immediately leave. The man is intoxicated and police have been notified but have not yet arrived. Which one of the following is your best course of action?
Remove yourself, your partner, and family from the house.

Q26- Which one of the following patients is the EMT justified in restraining?
Patient threatening to kill his wife and trying to leave the scene.

Q26- You are assessing a patient with schizophrenia. Friends called 911 because he was experiencing hallucinations this morning. He is prescribed Thorazine and Resperidone for his illness. Which one of the following questions is most pertinent to the current situation and must be asked first?
“Have you been taking yoru medications as prescribed?

Q26- You have had to restrain a patient who is being involuntarily committed to a psychiatric institution. During the restraint process, the patient vomited. How should you position him on the stretcher?
Left lateral recumbant.

Q26- You have been called to a nursing home for a 48 -year-old male with a history of schizophrenia. On scene you find the patient to be highly agitated and clutching his left hand while complaining that there are bugs in it. After performing the primary assessment and finding no life threats, you should:
physically and thoroughly assess his left hand.

Q26- According to family, a 24 -year-old female suddenly began to act in a hostile manner. After assessing her, you determine that she cannot remember her name or present location and is drooling. Based on these findings, you should suspect:
behavioral emergency resulting from a physical condition.

Q26- A group of EMT’s is preparing to restrain a large and violent patient. Which one of the following instructions given by the team leader is most appropriate?
“You distract him by coming at him from the front and the rest of us will come at him from different directions, each taking a separate limb.”

Q26- You are responding to a home for a injuries resulting from a domestic altercation. In preparation for patient contact, what would you tell your partner?
“Do not let the patient get between you and the door.”

Q26- How can the EMT best keep a behavioral patient calm and avoid provoking a violent outburst?
Inform the patient of all that is going on and use a calm voice throughout care.

Q26- You are by the side of a young male patient with a history of behavior problems. Friends called 911 after the patient experienced several violent outbursts this evening. Which one of the following findings would cause the EMT to suspect a physical cause for this behavior, as opposed to a behavioral one?
Dilated pupils that are sluggish to react.

Q27- You are assessing a male patient who was stabbed three times in the chest and abdomen. As you begin the primary assessment, you note him to have a decreased level of consciousness and gurgling respirations. Your next action would be to:
Suction the airway.

Q27- Which one of the following is a high-velocity wound that carries the greatest risk for death when considering the concept of cavitation?
Gunshot wound to the spleen.

Q27- A patient has been stabbed with a knife at the fifth intercostal space on the right side of the chest. Assessment reveals him to be short of breath and coughing. Which one of the following questions is it most important for the EMT to ask regarding the weapon?
“How long was the knife?”

Q27- A bullet fired from a gun at close range passes through the patient’s liver. However, on autopsy, the coroner discovers that the man’s pancreas, stomach, and gall bladder were also injured, even though not in direct contact with the bullet. As a knowledgeable EMT, you would recognize that which of the following is responsible for injury to these additional organs?
Cavitation.

Q27- You are responding to a call for a 4 year-old child hit by a car. When assessing the child, which of the following injury patterns would you recognize as typical based on the child’s age and mechanism of injury?
Injuries to the head, femurs, chest and abdoment.

Q27- Emergency Medical Responders have removed an intoxicated and confused patient from a car that struck another car at a high rate of speed. The patient was unrestrained and his car did not have airbags. Assessment reveals deformity bilaterally to the hips and femurs and bruising to the knees. Based on this injury pattern, the EMT would recognize what type of injury mechanism?
Down and under.

Q27- A patient has been critically hurt in a nighttime motor vehicle collision. She was wearing a seatbelt and hit a tree at 70 mph. The car she was driving weighted two tones and was equipped with airbags that did deploy. Which of the following had the greatest impact on her being injured?
Spped of the vehicle at impact.

Q27- A “whiplash” type neck injury is most often observed with what type of collision?
Rear end impact.

Q27- Two cars have collided head on. One car was traveling 55 mph and the other 35 mph. The total speed of impact would be:
90 mph.

Q27- Assessment of a patient involved in a motor vehicle accident reveals him to have crepitus to the left humerus, instability to the left lateral chest wall and flank, and pain on palpation to the left hip region. He also complains of pain to the right side of the neck. Based on this injury pattern, the EMT would recognize the patient was:
the driver of a car hit on the driver’s side.

Q27- As you pull to a motor vehicle collision, you quickly scan the scene for clues as to the type and severity of injuries. Which of the following scene clues would best indicate that a patient may have a head injury?
Starring of a windshield.

Q27- A car has been hit head-on by another vehicle at a moderate rate of speed. Seatbelts were in place and the airbags deployed. The patient is complaining of chest pain. Quick observation reveals a bruise to his sternum. The EMT would immediately:
Lift the airbag and check the steering wheel.

Q27- During an in-service focusing on care of the trauma patient, the medical director asks if anyone can correctly dscribe the “platinum 10 minutes.”. Which of the following indicates the best response?
“EMS should initiate transport of the critically injured trauma patient to the hospital within 10 minutes of arriving on scene.”

Q27- An unrestrained driver of a car that has struck a tree at 45 mph has suffered a contusion (bruise) to his heart. The EMT would recognize that this injury occurred during which impact of the collision?
Organ collision.

Q27- Which of the statements below best characterizes the capabilities of a Level III Trauma Center?
The hospital has some surgical capabilities to help trauma patients, but will generally stabilize and transfer them.

Q27- Which of the following best describes the goal of a trauma system?
Getting the right patient to the right facility in the right amount of time.

Q27- A 49 -year-old male has been stabbed in the lower right chest. Police on scene report that the patient got into an argument with an unidentified man, who then stabbed him before fleeing the scene. After assessing the pat, you are suspicious that the knife punctured the lung and is causing internal bleeding. In this situation, the mechanism of injury would be:
stab wound to the right chest.

Q27- An unrestrained female driving a small car is involved in a rollover-type collision. Why is her risk for serious injury and death significantly increased?
There are more impacts in a roll over.

Q27- A patient involved in a motor vehicle collision is complaining of neck pain. Which of the following pieces of information should cause the EMT to have a high index of suspicion that the patient may have suffered more significant injuries beyond the complaint of neck pain?
Death of the car’s driver.

Q27- As part of your service to the community, you are certified as a car seat specialist and provide monthly classes on the safe transport of infants and children. Several cars pulled into your station and asked you to look at their car seats. Which of the following car seat positions would indicate that the parent is safely transporting his or her infant (less than one year old)?
Facing backward in the back seat in a reclined position.

Q 28 -The EMT is by the side of a young female who was cut while washing dishes. she has a jagged laceration to her left forearm that is bleeding steadily and heavily. when attempting to control the bleeding, the EMT should first:
Place a large sterile dressing over the site with hand pressure applied over top of the dressing.

Q 28 – Which one of the following statements shows an understanding of shock caused by internal bleeding;
“You should always suspect internal bleeding in a patient with the signs and symptoms of shock but no external bleeding.

Q 28 – A young male was riding a motorcycle when he lost control and was ejected. the patient is unresponsive and receiving positive pressure ventilation. The rapid secondary assessment reveals bright blood flowing from both nostrils. Management of this bleeding would include which one of the following interventions?
Place a loose dressing under the nose.

Q 28 – A 49 year old male was climbing on a truck at a construction site when he fell backward to the ground. He presents with a two inch linear wound to the top of his head. Bleeding has been controlled and the skull can be seen through the wound. How should you document this injury on the prehospital care report?
Laceration.

Q 28 – Which one of the following does the EMT recognize as layers of the skin?
Subcutaneous, epidermis, dermis.

Q 28 – Prior to your arrival on the scene of a motorcycle crash, an EMR contacts you via radio and reports that there is one patient who has an evulsion to her left arm. As a knowledgeable EMT, you should anticipate which one of the following?
Loose flap of skin torn on her left arm.

Q 28 – Which one of the following assessment findings best shows that the patient’s injury should be classified as an abrasion?
The skin is scraped and red; blood oozing from the injury site.

Q 28 – small metal rod was shot from a metal lathe and is impaled in a man’s inner thigh. Assessment indicates that there is no active bleeding from the site, but the surrounding tissues are ecchymotic. The paramedic asks you to stabilize the rod with bulky dressings. You recognize this action as important because it will:
Prevent motion of the rod and further internal injury.

Q 28 – Of the statements that follow, which one describes the best way to determine the severity of a patient’s blood loss?
“I use the patient’s signs and symptoms to judge the severity of the blood loss.”

Q 28 – A patient has fallen and suffers a contusion to her arm. Which one of the following statements about contusions is true?
Blood vessels in the dermal layer have ruptured.

Q 28 – You have been dispatched for a patient whose arm was caught in a grinding machine. Assessment reveals a deformed arm covered with a bloody towel. The patient is alert and anxious, and has a patent airway. His breathing is adequate. Radial pulse is fast but strong. Which one of hte following should you do next?
Administer oxygen through a nonrebreather mask.

Q 28 – A man has been bitten in his arm by a dog. He states that the bite occurred several hours earlier when he accidentally stepped on the dog’s paw. When asked, he tells you that the dog is up to date on all of her shots, including the rabies vaccine. Assessment reveals two small puncture wounds to the hand with some bruising in the surrounding tissue. The patient wants to refuse treatment and transport. Given these assessment findings, which one of the following indicates the primary reason the patient should be seen in the emergency department?
Risk for infection.

Q 28 – While cleaning a gun, a 44 year old man accidentally shot himself in the abdomen. On arrival the patient is responsive to painful stiumuli and lying on his side with his legs drawn to his chest. Blood is evident on his shirt and pants. Which one of the following shows the correct sequence of events for caring for this patient?
Perform the primary assessment, administer high-flow oxygen, perform the secondary assessment, transfer to the stretcher, and provide rapid transport.

Q 28 – A patient has cut his arm with a table saw. Assessment reveals dark blood flowing steadily from the wound. As an EMT, you should recognize this as what type of bleeding?
Venous.

Q 28 – A patient has suffered a small, but jagged laceration to her left hand. When cleaning the wound, it is important that the EMT:
Use sterile gauze and wipe away from the site of injury.

Q 28 – Which one of the following statements about dressings and bandage is true?
Bandages should not be applied until bleeding is controlled.

Q 28 – A 62 year old male was the restrained driver of a car that was hit on the driver’s side. EMR’s have extricated and fully immobilized him with a cervical collar and long board. When asked, he complains of dizziness as well as leg and arm pain. Assessment reveals multiple contusions and deformity to his left forearm and a laceration with mild bleeding to the left side of his face. His airway is open and his breather is labored. A rapid radial pulse is felt. Skin is cool and dry. Which assessment finding should the EMT address first?
Labored breathing.

Q 28 – A 54 year old male patient was involved in a car crash. Window glass has caused an open wound to his upper neck. Which one of the following dressings is best for this injury?
Occlusive dressing.

Q 28 – A 40 year old homeless male is found lying in the street. Upon physical examination, you notice that the patient has a stab wound to the mid chest. He is unresponsive and his skin is cool to the touch. His respirations are 40 per minute and his pulse is 120. Which one of the following should the EMT perform first?
Insert an oral airway.

Q 28 – While riding a bike, a young boy fell onto a stick protruding from the ground. The stick impaled him in the neck. The boy immediately pulled the stick out and ran home, where his mother called 911. Assessment reveals a gaping wound to the right neck. All hemorrhage has clotted off and manual in line spinal stabilization is being maintained. Which one of the following instructions should you provide to the other EMT’s on scene?
“Place an occlusive dressing over the wound and tape on all four sides.”

Q 28 – A patient has had part of his right thumb amputated in an industrial accident. Co-workers have retrieved the thumb and wrapped it in a towel. The EMT demonstrates appropriate handling of the amputated part when he:
Wraps in in a dry sterile dressing.

Q 28 – Direct pressure has failed to control an arterial bleed on a patient’s leg. Which one of the following should the EMT do next?
Apply a tourniquet.

Q 28 – The EMT’s initial concern when treating a patient with a gunshot wound to the chest is:
Ensure an open airway.

When assessing a patient, you note a bruise to his chest. On the prehospital care report, the discoloration due to this injury is properly documented as:
Ecchymosis.

Q 28 – You suspect that a patient involved in a MVA is in shock. As a knowledgeable EMT, you know that which one of the following signs and symptoms of shock will be observed last?
Decreased blood pressure.

Q 28 – Which one of the following best describes a topical hemostatic agent?
Dressing especially designed to stop bleeding.

Q 28 – Which one of the following assessment findings indicates that a patient, who has suffered blood loss after being shot, is in an early stage of shock?
Alert and anxious, pulse 96, BP 134/88 mmHg, pale and cool skin.

Q 28 – Assessment findings of a driver who was ejected from his vehicle in a rollover type collision include unresponsiveness and bruising to the abdominal and pelvic areas along with an open femur fracture. The patient has an open airway and is breathing at 32 times per minute. The skin is cool and clammy and the radial pulses are weak. Manual in line spinal stabilization is being maintained. Which one of the following is the EMT’s initial intervention?
Assist respirations.

Q 28 – Your patient sustained blunt trauma to the chest in a MVA, and you suspect shock. While conducting the reassessment, which one of the following findings best indicates that the patient is deteriorating?
Blood pressure 86/50 mmHg.

Q 28 – Another crew has called for your assistance in extricating an obese male with a nosebleed from a third floor bedroom. As you enter the room, which one of the following shows proper management of the patient’s condition?
The patient is sitting upright, leaning forward, with nostrils pinched shut.

Q 28 – A 29 year old male was cutting limbs from a tree when he lost his footing and fell approximately 20 feet. He is unresponsive and breathing shallowly at 28 times per minute. His radial pulse is weak and thready and his skin is cool to the touch. EMRs have placed him on a nonrebreather face mask and are holding manual in line stabilization. Based on these assessment findings, which one of the following instructions should you provide to the EMRs?
“Let’s take off the oxygen mask and start positive pressure ventilation to assist his breathing.”

You are called for an 8 year old boy who has fallen. On scene the boy’s mother states that he was running while flying a kite and tripped, striking his face on a rock. Assessment reveals a large reddish-blue lump with intact skin under his left eye. When alerting the hospital emergency department of your arrival, you should inform them that the patient has what type of injury?
Hematoma.

You arrive at a meat packing plant to find a 30 year old male cut in the wrist with a sharp knife. The patient appears pale and blood is spurting from the laceration. Which one of the following should you do immediately?
Apply direct pressure to the laceration.

Which one of the following patients would the EMT recognize as suffering from an evisceration injury?
Male patient with a loop of intestine protruding from an open wound.

Which statement made by the EMT shows an understanding of bandaging an open wound?
“I use bandaging material to secure a dressing in place.”

Q29 – Which one of the following statements shows that the EMT understands the palm method of estimating the BSA burned?
“I use the patient’s palm to estimate the size of the burn area.”

Q29 – You have been called for a patient who had a large bag of lime powder tear as he was unloading it from a truck. On arrival you notice that the patient is wearing shorts and has lime dust covering both lower legs. He is complaining of leg pain from the chemical powder. Which one of the following should the EMT’s next immediate action?
Brush as much of the lime off his legs as possible.

Q29 – A 44 year old electrician has been shocked. He is responsive to verbal stimuli and has garbled speech. His airway is open ad he is breathing shallowly at a rate of 8 times per minute. his pulse is slow and irregular. Which one of the following actions should the EMT perform next?
Ventialte with a bag valve mask at 12 breaths per minute.

Q29 – An idustrial worder has sustained a partial and full thickness burn to his right hand after accidentally touching an electric furnace used to incinerate medical wast. Assessment reveals no threats to the airway, breathing, or circulation. which one of the following is the EMT’s next most appropratie action?
Pour cool saline water on the hand.

Q29 – Firefighters have pulled a middle age male from a burning bedroom. The patient is unresponsive and has obvious deformity to his left ankle. His respirations are rapid, stridorous and shallow. Your partner inserts an oropharyngeal airway and begins ventilating the patient with a bag valve mask. Which one of the following actions would you perform next?
Assess the patient’s carotid pulse.

Q29 – A student is in a science lab has had an unknown chemical plashed into her eye. After assessing the airway, breathing and circulation, the EMT should immediately:
flush the eye with coious amounts of tap water.

Q29 – A patient was burned when he accidentally ignited gasoline while working on his car. When performing the secondary assessment, which one of the following findings would indicate that the patient has suffered a partial thickness burn?
Painful skin that is moist and contains blisters to the abdomen.

Q29 – When applying the rule of nines to a 10 month-old child, the EMT should recognize which of the following?
The head of a child is considered to be 18% of the total body.

Q29 – When classifying a burn assessing superficial, partial, or full thickness, the EMT should determine the:
depth of the burn.

Q29 – Your patient is a diabetic male who spilled a pot of hot water on himself while he was cooking. He has a superficial burn of the right anterior leg. He is awake but confused, with pale, moist, cool skin. Following the primary assessment, which one of the following actions is the highest priority?
Check the patient’s blood glucose level.

Q29 – A male patient was injured when a steam valve opened, causing hot steam to contact his face. Which one of the following statements made by the patient would be of most concern to the EMT and require immediate assessment or treatment?
“It is sort of hard to breathe.”

Q29 – You are assessing a patient who was burned when she dropped a hot iron on her bare foot. Her foot is red and has a small partial thickness burn near the ankle. When completing the pre-hospital care report, what cause should you document?
Contact burn.

Q29 – You have been called for an intoxicated patient who sustained a full thickness burn to his leg when he passed out against a kerosene heater. After ensuing that the patient’s airway, breathing, and circulation are intact, you should cool the burn with water and then:
Wrap the burn with a dry sterile dressing.

Q29 – A burn patient has blisters to his left arm. The EMT should recognize that:
Fluid has collected between the layers of skin.

Q29 – You have been called for a 44 year-old male who was burned on the right hand and arm after falling against the hot door of an industrial incinerator. Assessing you arrive on the scene, a nurse employed by the company informs you that he sustained a partial thickness burn. Based on this information, the EMT should expect what characteristics at the burn site?
Intense pain and blister formation.

Q29 – A female who had hot coffee thrown at her has a superficial burn to the right side of her face. After transferring the patient to the hospital emergency department for continued care, a new EMT asks you if the patient will have a permanent scar on her face. Which one of the following is your best reply?
“Since only the outer layer of skin burned, there is little change of scarring.”

Q29 – Which one of the following assessment findings would best indicate that a patient has suffered a full thickness burn to his leg?
Dry skin with little pain.

Q29 – A patient has suffered partial and full thickness thermal burns to the anterior chest, abdomen, and arms in an industrial accident. Which one of the following would be appropriate in the care of this patient?
Cool the burns with water for 90 seconds and cover the burns with a sterile, dry burn sheet.

Q29 – You have arrived on the scene of a large structure fire. Emergency Medical Responders are by the side of a patient who is responsive to verbal stimuli and has suffered significant burns to his body. They report that the patient fell down a flight of stairs while trying to escape and was entrapped for several minutes. Their assessment findings include partial and full thickness burns to his right arm, right leg, and right side of the face. The EMRs also report that the patient’s unburned skin is cool, clammy, and pale with delayed capillary refill. His pulse is 144, respirations are 22 and blood pressure is 88/50 mmHg. Which one of the following instructions would be most appropriate?
After reassessing the ABC’s, let’s do a secondary assessment and look for signs of injuries that are causing shock.”

Q29 – Which one of the following patients should the EMT recognize assessing suffering from the most critical burn?
22 year old with a partial thickness burn to the right hand.

Q29 – You are transporting a patient who was shocked by an electrical current while installing a residential electrical service panel. He has partial thickness burns to the hand and foot where the electricity entered and exited his body respectively. During the reassessment, which one of the following signs or symptoms would be of most concern to the EMT?
Irregular heartbeat.

Q29 – A 51 year-old male was burned in the face after a steam valve was accidentally opened. His face is red and swollen, and he is screaming in pain. He also states that he is having a hard time seeing. Which one of the following is the EMT’s priority concern in caring for this patient?
Airway compromise.

Q29 – Why would an EMT be concerned about a partial thickness burn circumferentially to the chest?
Restriction of breathing.

Q29 – You are called by the owner of a restaurant for a female patron who spilled hot tea onto her right thigh. The secondary assessment reveals the burn area to be soft, but red and painful. The skin is intact with no blister formation noted, although slight edema is present. Based on these assessment findings, the EMT should recognize what category of burn?
Superficial.

Q29 – You are assessing an elderly patient who was entrapped in a burning trailer. Which one of the following findings would be most indicative of a patient suffering an inhalation injury?
Coughing of black sputum.

Q29 – An intoxicated patient has suffered a burn to his left lateral thigh after passing out with his leg touching the side of a kerosene heater. Close examination of the burn reveals tough leathery tissue in the center of the burn and surrounding it, red skin with blisters. Regarding the burn, which one of the following is true?
The inner portion of the burn is full thickness and the outer oriton partial thickness.

Q29 – A 20 year-old waitress spilled hot coffee and burned her right forearm. When assessing the burn, you note a full thickness burn surrounded by partial thickness burns. In addition, she complains of pain in the surrounding partial thickness burn, but not in the center where the full thickness burn is located. Assessing an EMT, you recognize that the patient is not localizing pain to the center of the burn because of:
damage to pain receptors in the dermis.

Q29 – A male patient who works in a steel fabricating plant has suffered a flash burn to his right arm and hand. Which one of the following assessment findings would assist the EMT in deciding the burn is superficial and not partial thickness?
absence of blisters.

Q29 – A patient rescued from an apartment fire has sustained partial and full thickness burns from his chest down to his feet. The EMT should recognize that this patient is prone to develop:
hypthermia.

Q29 – A burn patient has full thickness burns to the fronts of both legs and the entire left arm. The front of the patient’s right arm has superficial thickness burns. Using the rule of nines, the EMT should estimate what percentage of the patient’s body has been burned?
27%

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Q26- You have been called for a young male patient who has been withdrawn. The patient appears depressed and when you ask him if he is thinking about hurting himself, he answers “yes.” The next question asked by the EMT …

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