Case studies

Question 1

Trauma scenario (Joanna Cleese) with respiratory deterioration, confusion, hypovolemia, and traumatic injuries.
Medications: Paracetamol, Morphine Sulphate, Metformin

Answer 1

Actual:
Decreased GCS - Joanna has come in with decreased GCS upon handover from the ambulance this suggests a potential concussion or further potential brian trauma or bleed, from her brain knocking against the skull during her trauma causing the concussion evidenced by laceration on side of her head
Chest wall injury: Joanna has come with pain in the chest wall area indicating a potential rib fracture due to her fall and landing on that left side.

Potential:
Compartment syndrome
Pneumothorax

Question 2

Cardiovascular scenario (Bob Downe) with increasing chest pain, hypertension and hypotension.
Medications: Anginine, GTN, Aspirin

Answer 2

Actual:

Potential:

Question 3

Neurological scenario (Raylene Young) with a suspected stroke, deteriorating GCS and experiencing seizures.
Medications: Alteplase, Clonazepam, Paracetamol

Answer 3

Actual:

Potential:

Question 4

Renal scenario (Bobby Singh) with hypotension, decreased urine output and AKI. Medications: Frusemide, Ramipril, Celecoxib

Answer 4

Actual:

Potential:

Question 5

Haematology scenario (Terry Jones) with sepsis, rigors, increasing pain and septic shock.
Medications: Ondansetron, Endone, Pantoprazole

Answer 5

Actual:

Potential: