At 21:30 hours, EMT’s Rey and Jentz have arrived at the residence of Mr. Smith, a 45 year old patient who was complaining of chest pain. As the crew enters the home, family members inform them that Mr. Smith has a past medical history of several heart attacks and takes numerous medications. The initial assessment reveals Mr. Smith is unresponsive and has snoring respirations with slow, shallow breathing and a weak irregular carotid pulse. Immediately EMT Rey begins to support Mr. Smith with basic airway maneuvers and bag-valve-mask ventilation while EMT Williams completes a rapid assessment and obtains additional patient history from the family. At 2133 hours, Paramedic Jones arrives on location and receives a quick report from the BLS crew. At 2134 hours EMT Jentz applies electrodes and turns on the cardiac monitor and begins to assemble the equipment necessary for an intravenous infusion. Paramedic Jones quickly interprets the cardiac rhythm while assembling the necessary equipment for endotracheal intubation. The patient is pre-oxygenated and with assistance of EMT Rey, a successful is performed by paramedic Jones and secured following a confirmation of tube placement at 2138. At 2139 hours paramedic Jentz establishes intravenous access with the intravenous administration set and equipment prepared by EMT Jentz. Mr. Smith receives several intravenous medications and fluid at 2142 hours, and the crew quickly packages the patient for transport, departing the residence at 2145 hours.
