PALS Megacode 2 Out-of-Hospital

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Step 1 of 9

You are a healthcare provider working on an ALS ambulance. You are dispatched to the home of a 3-year-old female who has been experiencing trouble breathing. You are advised by dispatch that the mother reports the patient may have ingested glass cleaner, likely mistaking it for candy or a fruit drink, and that the patient’s breathing is worsening progressively. Your response time to the scene is 6 minutes. A rapid initial impression (ABCs) reveals the following:

  • Appearance: Awake, alert, anxious
  • Breathing: Increased work of breathing, tachypneic, grunting, intercostal retractions
  • Circulation: Skin is pink
1. What type and severity of respiratory emergency is occurring in the given scenario?*