Emergency call operation center

Emergency call operation center sent you to the 70-year old patient, who was uncousious for a while and then recovered.

You are accessing a 70-year-old man, sitting in a chair, he is conscious.

 

 

 

 

 

You will find out: active position, no alergies

During the primary examination, you will find out:

A: clear airways, without signs of stridor

B: RR 16/min, SpO2 95%,  symetrics breathing on both sides, without phenomena

C: peripheral pulse palpable, frequency 33/min, blood pressure 150/55mmHg, colder acral areas of the body, capilar refill 2 s, auscultation without murmur

D: blunt injury visible on the head, isocoric pupils, photoreaction present on both sides, tongue crawling in the middle line, tongue without injury, standing indicates weakness, no signs of lateralization, patient is urinated, no stool, glycemia 11.8mmol / l, body temperature 36,3°C

E: blunt head injury, no further injuries, mild edema of the lower limbs to knee height

On 12-lead ECG you can see:

picture: Special thanks to Smith's ECG blog

 

Choose the correct statement:

 

The patient with bradycardia, an adverse symptom present
The patient with bradycardia, no adverse symptom present

Map: Bradycardia 1EN (2112)
Node: 43572
Score:

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OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • START
  • Krajské operačné stredisko vás posiela...
  • Are you otherwise healthy?
  • Call CMPA/CNPA
  • Choose your Role
  • Your Patient Has Arrived
  • Acknowledge the event to the patient and family
  • Do you get a headache?
  • Differential Diagnosis
  • Decline because timing cannot be predicted
  • Inform supervisors and physicians regarding the event and submit a safety report
  • betahistine (Serc) 48mg tid
  • Provide initial support to the patient/family and to providers involved in her care
  • Can you think of any trauma or action that set off the pain?
  • What is a Virtual Patient?
  • new node
  • Emergency call operation center

Reminder

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FINISH

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