On scene, you are presented with a nonverbal 21-year-old female with multiple disfigurements from birth defects. According to her home health nurse, the patient has a fever, which requires transport to the emergency department. Your partner is familiar with the patient because he transported her last week for the same condition. When obtaining the patient's past medical history, which source should be tried first?

When handling patients with special challenges, EMTs can: Assess the patient: EMTs should be aware of the patient's condition and treat what they find. They should also consider that all conditions exist on a continuum and not assume the patient has the most or least severe traits. Assess the environment: EMTs should document the environment thoroughly and observe the patient's behavior. They should also consider that some geriatric patients may have cognitive disabilities that can make it difficult to communicate effectively. Ask questions and listen attentively: EMTs should allow the... Show more

When handling patients with special challenges, EMTs can:
Assess the patient: EMTs should be aware of the patient's condition and treat what they find. They should also consider that all conditions exist on a continuum and not assume the patient has the most or least severe traits.
Assess the environment: EMTs should document the environment thoroughly and observe the patient's behavior. They should also consider that some geriatric patients may have cognitive disabilities that can make it difficult to communicate effectively.
Ask questions and listen attentively: EMTs should allow the patient to communicate at their own pace and not rush them to complete a sentence or thought.
Obtain information from the patient and caregivers: EMTs should try to obtain an explanation from both the patient and caregiver as to what happened.
Notify the hospital of the patient's special needs: EMTs should retrieve visual aids and glasses, explain and demonstrate all procedures, and allow guide dogs to accompany the patient.
Carefully lead the patient when ambulatory.

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