Emergency Patient Care Scenario Sheet

Question 1

survey (first thing) (EMCAP)

Answer 1

Environment is safe?
Mechanism of injury or illness?
Count # of patients
Additional resources needed?
Use Proper PPE

Question 2

Primary survey assessments

Answer 2

-LOC
-Circulation
-Airway
-Breathing
-Rapid head to toe check (Claps-D and TICS-D)
-Make primary decision (Critical or Non-critical)
-manage shock

Question 3

Emphysema symptoms

Answer 3

-barrel chest appearance (trapped air)
-pursed lip breathing
-diminished breathing sounds
-prolonged exhalation with difficulty
-pink complexion
-home/portable 02

Question 4

Chronic bronchitis symptoms

Answer 4

-chronic cough
-increased mucous
-chronic cyanosis complexion
-frequent clearing of throat
-shortness of breath (SOB) less than with emphysema
-typically overweight

Question 5

Signs/symptoms of angina

Answer 5

-chest pain or pressure
-SOB
-nausea and/or vomiting
-anxiety
-excessive swelling
-complaints of indigestion

Question 6

Signs/symptoms of stroke

Answer 6

-Altered LOC
-Facial Droop
-Paralysis/weakness
-speech slurred or absent
-incontinence
-eyes/pupils deviated, visual disturbance, unequal pupils

Question 7

Cardiac arrest electrical rhythms

Answer 7

Shockable rhythms
-Ventricular fibrillation
-pulseless ventricular tachycardia(VT or V-tach)
-Ventricular Tachycardia
-pulseless ventricular tachycardia

Non-shockable rhythms

-A-systole (flatline)
-pulseless electrical activity (PEA)

Question 8

How to treat burns

Answer 8

-apply oxygen
-cool burn with cool water/saline
-remove/loosen material on burn area that may become tight if swelling occurs, do not remove material stuck to burn
-if BSA >10% cover area with clean/dry sterile dressing
-if BSA <10% use clean/sterile moist dressing
-keep patient warm
-continue to monitor ABCs treat for shock

Question 9

Secondary assessment Vital signs

Answer 9

-Pulse(rate,rhythm,volume)
-Blood pressure(delegates)
-Respirations(rate,rhythm,volume)
-Pupil check (pupils equal and reactive to light)
-Skin temperature
-skin condition
-obtains chief complaint
-obtains baseline and records time

Question 10

Priorities of splinting

Answer 10

-spinal column
-chest (breathing difficulty)
-pelvis (major blood loss)
-femur/lower legs (moderate to serious blood loss)
-upper extremities (minor blood loss)

Question 11

Healthy pulse (adults)

Answer 11

60-100BPM

Question 12

Healthy Pulse (children)

Answer 12

75-120BPM

Question 13

Healthy pulse (infant-1year)

Answer 13

100-180BPM

Question 14

Healthy respiratory rate(Adults)

Answer 14

12-20

Question 15

Healthy respirations
0-6months
6months-1 year
1-3
3-5
5-12

Answer 15

30-60
30-50
24-40
22-34
16-30