You are treating a severely hypoxic adult patient that has emphysema. He is extremely dyspneic and has audible wheezes and rhonchi throughout his lung fields. His SpO2 is 80%. You quickly administer high flow oxygen via a non-rebreather mask. Within a minute his saturation level begins to climb but he suddenly pulls the mask from his face in a panic. He states it is smothering him to death and he will not allow it to be put back on at all. As he continues to struggle to breathe through pursed lips, what should be your next course of action?

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The NREMT exam asks questions on these topics: - Airway, Respiration & Ventilation - Cardiology & Resuscitation - Trauma - Medical/Obstetrics/Gynecology - EMS Operations All sections, except EMS Operations, have a content distribution of 85% adult and 15% pediatrics [based questions].  Topic weightage: For the EMT exam, 18%-22% of questions asked will cover airway, respiration, and ventilation; 20%-24% will cover cardiology and resuscitation; 14%-18% will cover trauma; 27%-31% will cover medical/obstetrics/gynecology; and 10%-14% will cover EMS operations.  For the EMR, advanced EMT... Show more

1. You are treating a severely hypoxic adult patient that has emphysema. He is extremely dyspneic and has audible wheezes and rhonchi throughout his lung fields. His SpO2 is 80%. You quickly administer high flow oxygen via a non-rebreather mask. Within a minute his saturation level begins to climb but he suddenly pulls the mask from his face in a panic. He states it is smothering him to death and he will not allow it to be put back on at all. As he continues to struggle to breathe through pursed lips, what should be your next course of action?