A 28-year-old male was cutting limbs from a tree when he lost his footing and fell 20 feet. He is unresponsive and breathing poorly at 28 times per minute. His radial pulse is weak and thready and his skin is cool to the touch. Emergency Medical Responders (EMRs) have placed him on a nonrebreather face mask and are holding manual in-line stabilization. A blanket has also been applied and covers the man. Based on these assessment findings, what instruction would you give to the EMRs?

Question

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The patient's breathing rate is fast but shallow, along with weak and thready pulse, suggesting inadequate oxygenation. Since the patient is unresponsive and has a weak pulse, the oxygen mask should be left in place, and positive pressure ventilation should be initiated to assist his breathing. This will provide oxygenation to the vital organs until the patient is transported to the hospital. It is important to maintain manual in-line stabilization to prevent any further injury to the cervical spine.

A 28-Year-Old Male Was Cutting Limbs from a Tree When