Ontario Paramedic Practice Exam

Which of the following scenarios would require immediate rescue and transport?

1. A patient with a sprained ankle

2. A patient with altered mental status and unstable vital signs

3. A patient with a superficial cut

4. A patient with controlled diabetes

The correct answer is: A patient with altered mental status and unstable vital signs

The scenario involving a patient with altered mental status and unstable vital signs necessitates immediate rescue and transport due to the severity of the condition. Altered mental status could indicate a wide range of critical issues such as a stroke, head injury, severe metabolic disturbance, or other life-threatening situations. When coupled with unstable vital signs—indicating potential cardiovascular compromise, respiratory distress, or neurological deterioration—the patient requires urgent medical assessment and intervention. Timely transport to an appropriate medical facility is crucial for this patient because their condition can rapidly worsen without immediate care. Delaying treatment in cases of altered mental status may lead to irreversible complications or even loss of life. This prioritization aligns with paramedic protocols to ensure high-risk patients receive the necessary medical attention promptly. In contrast, the other scenarios—such as a sprained ankle, superficial cut, or controlled diabetes—are generally less critical and may not require immediate transport, as they are typically manageable with appropriate first aid or outpatient care.