Medical Assessment
Arrived on scene at Cradle Rock Elementary to find a 9 year old female sitting in the cafeteria alert and oriented times four. You notice during your assessment swelling of the tongue and lips with what sounds like stridor. You also note hives are present on her torso.
BP:60/40 HR:140 O2:89% RR:28
Anaphylaxis
What is the Adult Dosage for Nitroglycerin and Its Route?
0.4 mg Sublingual
What Medication is now indicated for fevers greater than or equal to 100.4 degrees Farenheit?
Acetaminophen
Arrived on scene at Lorien of Columbia to Find a 83 Year Old Male Sitting in the Lobby. Bystanders State That the Patient was Walking When He Tripped and Fell and Struck His Head On the Floor. The Patient’s Only Complaint is That He Has a Headache and a Bump On the Back of His Head. The Patient Also Informs You He is On Warfarin and 81 mg of Aspirin.
BP:150/90 HR:94 O2:99% RR:18
Is This Patient a Truma and If so What Trauma Category Would He Be?
Yes.
Delta
Patient is On Blood Thinners and is Just Old
14-year-old broken arm walking around the scene?
GREEN
Arrived on scene at Wild Lake High School 17 year old male sitting in the gym. The patient's teacher stated that the patient was running around when she began to cough. The patient has inspiratory and expiratory wheezing. The patient is sitting with hands on her knees with visible respiratory distress.
BP:100/58 HR:160 O2:86% RR:40
Asthma
What is the Pediatric Dosage for Nalaxone
2 mg 1 mL Per Nare
For Pregnant Patients Greater Than 20 Weeks Gestation in Cardiac Arrest What Should Providers Due in Addition to Normal Cardiac Arrest Treatment?
Constant Left Lateral Uterine Displacement.
Arrived On Scene At 10475 LPP for a 61 Year Old Male Who Fell Off a Ladder. Your Assessment Reveals That He Has a Pelvic Fracture, As Well As a Femur Fracture. He is Alert and Oriented Stating He was Working on the Electric Wiring on Stage Lost His Balance and Fell.
BP: 160/84 HR: 120 O2: 94% Respiratory Rate: 22
Is This Patient a Truma and If so What Trauma Category Would He Be?
YES!!!
BRAVO
Patient has a Pelvic Fracture
A 36-year-old man unresponsive with brain matter showing
Arrived on scene at Brightview of Columbia to find an obese 82 year old female sitting in her kitchen chair in obvious respiratory distress. Upon auscultating, the patient’s lung sounds you hear rales throughout. The patient is also noted to have edema in both her upper and lower extremities.
BP:200/110 HR:120 O2:82% RR: 32
Congestive Heart Failure
What is the Pediatric Dosage for Albuterol?
2 or Older: 2.5 mg
Younger Than 2: 1.25mg
Is a Patient Complaining Nause of Nausea and Vomiting with the Following Vitals Signs Appropriate for Direct to Triage?
BP:114/60 HR:90 O2:98% RR:20 BG: 100 Temp: 97.8
YES!
Arrived On Scene At LPP & Brokenland PKWY for an MVC VS. Bicycle. Bystander State That the Car Had to Have Been Going 40-50 mph When It Struck the Bike. The patient is Complaining of Right Flank Pain, With Road Rash Noted On the Right Side of His Torso. No Deformities Or Swelling are Noted Yet, But You Do Find Bruising Present in His Abdomen.
BP:100/58 HR:142 O2:97% RR: 24
Is This Patient a Truma and If so What Trauma Category Would She Be?
Yes
Charlie
Auto VS/ Pediastrian/Bicyclist Thrown, Run Over, Or With Significant (Greater Than 20 mph) Impact.
Responsive 34-year-old female has pale, moist skin and respirations of 32. You also note unequal chest rise and fall.
RED
Arrive on scene to find a 21 month old female being held by a frantic mother. The patient’s mother states since about 20:00 this evening the patient has had a barking-like cough (it is now 00:00). Patient is alert, but only to the painful stimuli.
BP:80/50 HR:150 O2:88% RR: 36
CROUP
What is the age that Separates the Pediatric Draw Up Epi Dosages?
5 years old
You Have a 65 Year Old Male Complaining of 8/10 Upper Abdominal That is Sharp and Radiating to His Side and Back. The Pain Suddenly Started About 30 Minutes Prior to Your Arrival and He Can't Standup Straight Due to the Pain.
BP:170/90 HR:100 O2:98% RR:20 BG:130 Temp:98.0
Is This Patient Appropriate for Direct to Triage?
NO
Due to Unexplained Abdominal Pain
Arrived on Scene at Govern Warfield and LPP for an MVC With Rescue. You Note That the Car Has Obviously Rolled Several Times.Upon Extrication of the Patient You Find a Partial Amputation of the Patient’s Right Foot Above the Ankle. A Tourniquet is Applied and the Patient is Alert and Oriented With a GCS of 15.
BP:130/68 HR:136 O2:96% RR: 26
Is This Patient a Truma and If so What Trauma Category Would She Be?
YES!
Bravo
Amputation Proximal to Ankle or Wrist.
Unresponsive male patient snoring respirations, breathing improves when you open airway
RED
Arrived on scene at Lorien of Columbia to find a 79 year old male alert and oriented times four. The patient states that about an hour ago he had a sudden onset of dizziness with a loss of balance.
BP:200/100 HR:98 O2:97% RR: 16
Stroke
What are the Pediatric Dosages for Acetaminophen?
3 Months: 1.25 mL
4-11 Months: 2.5 mL
12-23 Months: 3.75 mL
2-4 Years: 160 mg/5 mL
5-12 Years: 320 mg/10mL
13 Year or Olders: 640 mg/20 mL
For a VAD Patient Who is Unresponsive, Not Breathing, and Without Capillary Refill, the Initiation of Mechanical CPR is Appropriate? True or False.
False
Arrived on scene at Brightview of Columbia to find An 88 Year Old Female Who Fell Out of Bed. The Patient is Disoriented With No History of Dementia Or Alzheimer's. You Find a Hematoma About An Inch In Diameter On Her Head. You Also Find Her Left Forearm Has An Open Compound Fracture.
BP:220/100 HR:42 O2: 90% RR: Irregular (30-40)
Is This Patient a Truma and If so What Trauma Category Would She Be?
YES!
ALPHA
GCS Less Than Or Equal to 13.
57-year-old female has deformed fibula and tibia. She is oriented with respirations of 20 and a pulse of around 100
YELLOW