You are called for respiratory distress. you arrive to find a male caox4 complaining of breathing problems. he has chronic obstructive pulmonary disease and congestive heart failure (chf), states he feels like he is drowning, and has waited too long to call 911. his vitals are as follows: bp 202/108, spo2 78% room air, rr 58 and shallow, pulse of 126 strong and regular, sinus tach on the monitor, and etco2 of 24mmhg with a shark fin waveform. he is extremely fatigued and his respiratory rate is beginning to slow as you get him into your ambulance. why is cpap not an option for this patient?

At 2: 00 am, a 17-year-old boy, accompanied by his 19-year-old girlfriend, had driven to the bar to give his father (who had been drinking large amounts of alcohol) a ride home. on the way back, they were involved in a motor vehicle collision. the boy has a large laceration with profuse bleeding on his forehead. his girlfriend is unconscious in the front passenger floor. the father is standing outside the vehicle, appearing heavily intoxicated, and is refusing care. what is the best way to gain consent to begin care when his father has an altered mental status or is unconscious? a. phone his mother for consent. b. call his grandparents for consent. c. it is a true emergency, so consent is implied. d. you are covered under the good samaritan laws.