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Medical Scenarios - samples.jblearning.com

81 First Responder Respiratory Medical Scenarios Respiratory Asthma You are called to a local house for a woman with trouble breathing. You arrive to find a 67-year-old Scenario: woman sitting upright in a chair. She states she cannot catch her breath. Your patient is using an inhaler. Prearrival Questions 1. What type of scene are you going into (safe or unsafe, access problems, etc.)? 2. Is this problem acute or chronic? Scene safe Yes Body substance isolation Gloves, eyewear Nature of illness Respiratory Number of patients One Additional help Dispatch advanced life support (ALS). C-spine stabilization No Assessment Questions 3. When do you need to interrupt the initial assessment? 4. What is the overall look of the patient when you arrive? General impression 67-year-old woman in a chair Level of consciousness Responsive Chief complaint Cannot breathe Airway Open; noisy breathing heard Breathing 30 breaths/min Symmetrical rise and fall of the chest Circulation Carotid and radial pulses Skin color, temperature, and condition Pale, cool, and clammy Management Questions 5.

© 2009 Jones and Bartlett Publishers, LLC. www.jbpub.com 84 First Responder Respiratory Response to treatments The object is dislodged and the patient begins to

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