Adam Swartz Posted June 14, 2008 Share Posted June 14, 2008 This was a scenario that we had in class. You are called out for a 17 year old male patient found unresponsive in his front yard by his neighbors. You arrive on scene and find it to be secure. After taking proper BSI precautions you approach and find him to be completely unresponsive. While your partner begins the assessment you ask the neighbors if they know anything about him. They answer no. You find a ladder nearby. He looks like he has been working on the ladder. Take it from here. Link to comment Share on other sites More sharing options...
AZCEP Posted June 14, 2008 Share Posted June 14, 2008 Signs of trauma? Airway status? Breathing? Circulation? Spinal precautions, OPA, begin ventilating, move to transport unit. Link to comment Share on other sites More sharing options...
Adam Swartz Posted June 14, 2008 Author Share Posted June 14, 2008 Signs of trauma? Airway status? Breathing? Circulation? Spinal precautions, OPA, begin ventilating, move to transport unit. No sign of trauma. Give him full c-spine. No gag reflex. Airway is patent. Breathing 4x per minute shallow and labored. Normal perforation. Link to comment Share on other sites More sharing options...
chbare Posted June 14, 2008 Share Posted June 14, 2008 Position the airway with a jaw thrust and insert an adjunct if tolerated. Prepare airway management equipment and perform a mini neuro exam to include pupil assessment. Have somebody perform a rapid head to toe survey and ask if anybody saw anything. Any clues noted on the scene? We need baseline vitals and a BGL. Prepare for rapid movement off of the scene and continue treatment in the ambulance. ETA from nearest appropriate facility, and do we have medevac resources if we are looking at an extended trip to the hospital? Take care, chbare. Link to comment Share on other sites More sharing options...
Don1977 Posted June 14, 2008 Share Posted June 14, 2008 Was blood sugar checked? Link to comment Share on other sites More sharing options...
Adam Swartz Posted June 14, 2008 Author Share Posted June 14, 2008 Position the airway with a jaw thrust and insert an adjunct if tolerated. Prepare airway management equipment and perform a mini neuro exam to include pupil assessment. Have somebody perform a rapid head to toe survey and ask if anybody saw anything. Any clues noted on the scene? We need baseline vitals and a BGL. Prepare for rapid movement off of the scene and continue treatment in the ambulance. ETA from nearest appropriate facility, and do we have medevac resources if we are looking at an extended trip to the hospital? Take care, chbare. BGL is high. 565. Vitals are otherwise stable. 10 minute ETA to the hospital. No other clues on scene. has a peachy smell to the breath. No one saw anything. Link to comment Share on other sites More sharing options...
Don1977 Posted June 14, 2008 Share Posted June 14, 2008 no trauma or injury apparent, thats the 1st think I would have gotten checked.... Link to comment Share on other sites More sharing options...
ncmedic309 Posted June 14, 2008 Share Posted June 14, 2008 Pupils - size and response? Any medical alert jewelry or ID on the patient? Link to comment Share on other sites More sharing options...
AZCEP Posted June 14, 2008 Share Posted June 14, 2008 Two large bore IVs and a fluid bolus. Pupillary response? Just to be clear, what the heck is "normal perforation"? I hope he's not perforated. That would indicate some pretty significant trauma. :shock: Link to comment Share on other sites More sharing options...
ncmedic309 Posted June 14, 2008 Share Posted June 14, 2008 Also, any evidence of drug use? Link to comment Share on other sites More sharing options...
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