A 7-year-old boy comes to the Emergency Department with a 1-week history of diffuse abdominal pain, weight loss, nausea, and vomiting. He also admits to polyuria and polydipsia, worsening over the past few days. His vital signs are as follows: heart rate 150 beats/minute, respiratory rate 30 breaths/minute, blood pressure 90/50 mm Hg, and oxygen saturation 99% on room air. A bedside glucose is 520 mg/dl. He appears lethargic and has dry mucous membranes. Which of the following is the most appropriate initial management after IV access has been obtained?

A 7-year-old boy comes to the Emergency Department with a 1-week history of diffuse abdominal pain, weight loss, nausea, and vomiting. He also admits to polyuria and polydipsia, worsening over the past few days. His vital signs are as follows: heart rate 150 beats/minute, respiratory rate 30 breaths/minute, blood pressure 90/50 mm Hg, and oxygen saturation 99% on room air. A bedside glucose is 520 mg/dl. He appears lethargic and has dry mucous membranes. Which of the following is the most appropriate initial management after IV access has been obtained?

Which of the following is correct regarding the scope of activities and responsibilities of the medical director for the emergency medical services system?

You receive a call from an ambulance crew who was dispatched to a respiratory distress call from a caregiver. Upon arrival, the crew found an underweight, syndromic child with agonal breathing and exhibiting a pulse rate of 42 beats/minute. No legal guardians were present. But the child has a medical facility bracelet that states 'Do Not Resuscitate.' The provider calling you is asking for advice on advanced airway placement. What should you recommend?

You receive a call from the 911 call center regarding ongoing resuscitation efforts for a pediatric trauma. The patient and his family were in a MVC rollover on a rural highway. Resuscitation efforts have been in progress for 45 minutes on a pulseless 3-year-old boy with diffuse abdominal bruising who appeared to have been an unrestrained backseat passenger and who was ejected from the vehicle in which he had been riding. The patient's location is 90 minutes from the nearest facility. What are your recommendations for the EMS crew?

Which medication is used for symptomatic bradycardia unresponsive to ventilation and oxygenation?