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Re: Scenario 2; part 1

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  • b1laxson
    The patient talking to you largely completes the critical assessment of ABC. I would add take a moment before departing on their no to see if they are likely
    Message 1 of 9 , Feb 11 3:02 PM
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      The patient talking to you largely completes the critical assessment
      of ABC.

      I would add take a moment before departing on their "no" to see if
      they are likely to pass out. Once they pass out... uh... the
      assessment changes to potentially life threatening and consent is
      assumed.

      Brian the Green


      --- In E-Chir@yahoogroups.com, Jackie Wyatt <jkwyatt@...> wrote:
      >
      > I agree- I've been called over by someone only to be told by the
      injured person that I'm not needed.
      > Medb
      >
      > --- On Wed, 2/11/09, sheldon@... <sheldon@...> wrote:
      >
      > From: sheldon@... <sheldon@...>
      > Subject: Re: [E-Chir] Scenario 2; part 1
      > To: E-Chir@yahoogroups.com
      > Date: Wednesday, February 11, 2009, 5:25 PM
      >
      >
      > On the second #1 question, I'd also add get Consent. Just because
      your
      > called does not mean you can take over. Ask before doing anything
      else.
      >
      > Russ / Dafydd
      >
    • shannon carswell
      ... head to the yelling and are met a few steps from your table by a gentlemen who states, They ve cut themself. You have to hurry. It s really bad. There s
      Message 2 of 9 , Feb 13 8:36 AM
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        > Suddenly you hear someone yelling for a chirugeon. Getting up you
        head to the yelling and are met a few steps from your table by a
        gentlemen who states, "They've cut themself. You have to hurry. It's
        really bad. There's blood everywhere!"
         
         1. What do you do first?
            Find my First aid kit and if I am with friends maybe ask a non involved third party to come with in case I need a calm person to do gopher duty (call 911, get the autocrat, etc etc).
         
        2. What are you thinking?
         
            Mostly trying to remember what ninka taught me in first aid :P.  (kidding) Seriously, mostly about how to keep everyone calm, remembering treatment for shock and about what bandages I have available.
         
        3. How do you approach this incident?
         
         Again calmly, checking for hazards, number of people, potential causes, and first impressions of injured person (are they laying down, up and talking?)
         
         When you arrive at the classroom you see about 10 people all
        crowded around someone sitting on a chair. When you finally make
        your way through to the casualty you see a middle-aged gentleman
        (approx. 40 yrs old) who is currently holding his forearm and hand
        close to his chest with what appears to be a white veil wrapped
        around his arm. You do notice blood on the veil. You notice that
        there is blood on the floor at his feet as well as some on his
        tunic. 

        1. What is your first assessment? What are you looking for?
         
         First ABC, He is concious so A, and B are covered and as to C well his heart is definetly beating... but the wound is obviously a comprimise for circulation.  I would check amount of blood , if there is a puddle, I am having my gopher call 911, better safe than sorry.  If there are a couple splashes, better to get a real bandage on and have soemone drive him if he needs stiches.

        2. What is your second assessment? What are you looking for? 
         
        Signs of shcok, level of awareness, I would introduce my self ask his name, ask if I could help, ask how this happened and ensure that the hazardous object was somewhere safe.  I then with permission ask to see the wound.

        3. How do you control this scene?
         
          By remaining calm myself.  By asking talking to the person injured person directly. (Assuming he is not in shock) by showing confidence.  By assigning people to tasks if they get to panicky. 
         
        okay there's my two cents (she adds meekly)

         
        anyone lived in a pretty how town with up so floating many bells down...


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