PEPP Module 1 fn fn
1. Afn9-year-
oldfnboyfnnotfnwearingfnafnhelmetfnrodefnhisfnbicyclefnintofnthefnpathfnoffnanfnoncomingf
ncarfnmovingfnaboutfn25fnmph.fnThefnvictimfnwasfnstruckfnandfnthrownfnapproximatelyf
n15fnfeet,fnandfnhefnwasfnunconsciousfnforfn1fnminute.fnOnfnyourfnarrival,fnhefnisfncryin
gfnandfnanxiousfnbutfnrespondsfnappropriatelyfntofnquestions.fnHefnisfncomplainingfnth
atfnhisfnstomachfnhurts,fnandfnhisfnrightfnforearmfnisfndeformed.fnHefnhasfnnofnabnorm
alfnairwayfnsounds,fngrunting,fnflaring,fnorfnretracting.fnHisfnskinfnisfnpale.fnThefnrespir
atoryfnratefnisfn30fnbreaths/min,fntherefnarefnequalfnbreathfnsoundsfnwithfngoodfnairfne
xchange,fnandfnthefnpulsefnoximetryfnreadingfnisfn98%fnonfnroomfnair.fnHisfnheartfnrate
fn isfn140fnbeats/min,fnandfnhisfnbloodfnpressurefnisfn80/40fnmmfnHg.fnCapillaryfnrefillfnti
mefnisfn4fnseconds.fnWhichfnoffnthefnfollowingfnrequiresfnyourfnurgentfnattention?fn-
fn correctfnanswer✔ ✔ HemorrhagicfnShock
2. Afn3-year-
oldfnboyfnwasfnfoundfnfacefndownfninfnthefnfamilyfnswimmingfnpool.fnHefnwasfnunderfn
waterfnforfnnofnmorefnthanfn1fnminute,fnbutfnrequiredfncardiopulmonaryfnresuscitationf
nbyfnthefnmotherfntofngetfnhimfnbreathingfnagain.fnOnfnarrivalfnoffnEMS,fnthefnchildfnisfna
lert,fnpink,fnandfnclingingfntofnhisfnmother.fnRespirationsfnappearfnregularfnandfntherefn
arefnnofnretractions.fnWhenfnyoufnexaminefnhimfnfurther,fnhefnscreamsfnandfnfightsfny
ou.fnHisfnrespiratoryfnratefnisfn26fnbreaths/minute,fnbutfnyoufncannotfnobtainfnafnbloodf
npressurefnorfnheartfnratefnorfnassessfnlungfnsounds.fnThefnmotherfnisfnsobbingfnandfnf
rightened.fnWhatfnshouldfnyoufndo?fn-fncorrectfnanswer✔ ✔ Transport
3. Youfnarefncalledfntofnthefnhomefnoffnafn1-month-
oldfnboyfnwhofnstoppedfnbreathingfnandfnturnedfnblue,fnaccordingfntofnhisfnbabysitter.f
nHefnreportedlyfnhadfnafnfeverfnallfnday.fnThefninfantfnisfnlyingfnsupine;fnhisfnskinfnisfnpal
efnandfnmottled.fnWhenfntouched,fnhefnbecomesfnextremelyfnirritablefnandfnexhibitsfna
fn high-
1. Afn9-year-
oldfnboyfnnotfnwearingfnafnhelmetfnrodefnhisfnbicyclefnintofnthefnpathfnoffnanfnoncomingf
ncarfnmovingfnaboutfn25fnmph.fnThefnvictimfnwasfnstruckfnandfnthrownfnapproximatelyf
n15fnfeet,fnandfnhefnwasfnunconsciousfnforfn1fnminute.fnOnfnyourfnarrival,fnhefnisfncryin
gfnandfnanxiousfnbutfnrespondsfnappropriatelyfntofnquestions.fnHefnisfncomplainingfnth
atfnhisfnstomachfnhurts,fnandfnhisfnrightfnforearmfnisfndeformed.fnHefnhasfnnofnabnorm
alfnairwayfnsounds,fngrunting,fnflaring,fnorfnretracting.fnHisfnskinfnisfnpale.fnThefnrespir
atoryfnratefnisfn30fnbreaths/min,fntherefnarefnequalfnbreathfnsoundsfnwithfngoodfnairfne
xchange,fnandfnthefnpulsefnoximetryfnreadingfnisfn98%fnonfnroomfnair.fnHisfnheartfnrate
fn isfn140fnbeats/min,fnandfnhisfnbloodfnpressurefnisfn80/40fnmmfnHg.fnCapillaryfnrefillfnti
mefnisfn4fnseconds.fnWhichfnoffnthefnfollowingfnrequiresfnyourfnurgentfnattention?fn-
fn correctfnanswer✔ ✔ HemorrhagicfnShock
2. Afn3-year-
oldfnboyfnwasfnfoundfnfacefndownfninfnthefnfamilyfnswimmingfnpool.fnHefnwasfnunderfn
waterfnforfnnofnmorefnthanfn1fnminute,fnbutfnrequiredfncardiopulmonaryfnresuscitationf
nbyfnthefnmotherfntofngetfnhimfnbreathingfnagain.fnOnfnarrivalfnoffnEMS,fnthefnchildfnisfna
lert,fnpink,fnandfnclingingfntofnhisfnmother.fnRespirationsfnappearfnregularfnandfntherefn
arefnnofnretractions.fnWhenfnyoufnexaminefnhimfnfurther,fnhefnscreamsfnandfnfightsfny
ou.fnHisfnrespiratoryfnratefnisfn26fnbreaths/minute,fnbutfnyoufncannotfnobtainfnafnbloodf
npressurefnorfnheartfnratefnorfnassessfnlungfnsounds.fnThefnmotherfnisfnsobbingfnandfnf
rightened.fnWhatfnshouldfnyoufndo?fn-fncorrectfnanswer✔ ✔ Transport
3. Youfnarefncalledfntofnthefnhomefnoffnafn1-month-
oldfnboyfnwhofnstoppedfnbreathingfnandfnturnedfnblue,fnaccordingfntofnhisfnbabysitter.f
nHefnreportedlyfnhadfnafnfeverfnallfnday.fnThefninfantfnisfnlyingfnsupine;fnhisfnskinfnisfnpal
efnandfnmottled.fnWhenfntouched,fnhefnbecomesfnextremelyfnirritablefnandfnexhibitsfna
fn high-
