EMTResource.com » » Scenarios http://www.emtresource.com Emergency Medical Technician Tue, 03 Feb 2015 01:23:20 +0000 en-US hourly 1 http://wordpress.org/?v=4.1.1 Congestive heart failure patient http://www.emtresource.com/blog/scenarios/congestive-heart-failure-patient/ http://www.emtresource.com/blog/scenarios/congestive-heart-failure-patient/#respond Mon, 28 Apr 2014 03:43:23 +0000 http://www.emtresource.com/?p=304 You are dispatched to a skilled nursing facility for a medical aid. You arrive on scene and find an 85 Y/O female lying in bed complaining of extreme shortness of breath, weakness and fatigue. You immediately notice the patient is tachypnic with accessory muscle usage. The facility staff tell you the patient has a history of CHF.

Vital Signs

  • Pulse: 128 bpm
  • Respirations: 30 per minute
  • Blood pressure: 188/102 mmHg
  • Eyes: PERL @ 3 mm
  • LOC: Alert
  • Lung sounds: Crackles/Rales bilaterally
  • Skin: Pale, cool and clammy

Quiz

Congestive heart failure (CHF) is indicative of which of the following:

Left-sided heart failure.

Right-sided heart failure.

Bicuspid valve failure.

Tricuspid valve failure.

Discussion

Use the comment system below to explain how you would handle this scenario.

]]> http://www.emtresource.com/blog/scenarios/congestive-heart-failure-patient/feed/ 0 Hypothermic patient http://www.emtresource.com/blog/scenarios/hypothermic-patient/ http://www.emtresource.com/blog/scenarios/hypothermic-patient/#comments Mon, 28 Apr 2014 03:35:10 +0000 http://www.emtresource.com/?p=297 You are dispatched to a residential neighborhood for a patient who fell in a snowbank roughly two hours ago. You arrive on scene and find a 65 Y/O female lying supine in a snowbank on the sidewalk. You are unable to detect a pulse or respirations, but the patient moves to verbal stimuli.

Vital Signs

  • Pulse: Undetectable
  • Respirations: Undetectable
  • Blood pressure: 94/58 mmHg
  • Eyes: 6 mm
  • LOC: Verbal stimuli
  • Lung sounds: Clear bilaterally
  • Skin: Pale, cold and waxy

Quiz

If you cannot detect a pulse or respirations for a hypothermic patient, but they are able to move, you should:

Begin CPR immediately.

Begin CPR and apply the AED immediately.

Begin positive pressure ventilation with a BVM @ 15 lpm.

Apply the AED to analyze the patient’s rhythm.

Discussion

Use the comment system below to explain how you would handle this scenario.

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