Assignment 2
Storyboard Text
- Hi, I'm from the Ambulance service. What's the problem?
- I'm feeling really short of breath and I've got chest pain
- Do you know where you are? What's the date/month/year? I'm just going to check your pupils with this pen torch.
- You don't look too great, I'm going to just have a look at your breathing and feel your pulse.
- Prior to arriving, I would be pre-planning for the case and acknowledging biases/human factors. On arrival to the scene, I am assessing for dangers and performing a dynamic risk assessment. The patient is responsive as they are able to respond to my question. I am then performing a rapid assessment of the patient, assessing for Alertness, Work of breathing and Skin.
- The patient, 67, has pale, cool and clammy skin. I then perform a primary survey, assessing for Airway, Breathing, Circulation, Disability and Exposure. After completing a primary survey, I am would proceed to collect a history from the patient.
- I'm going to lift your shirt up and assess you breathing and listen to your chest, okay?
- The patient tells me that he developed sudden onset SOB and chest heaviness whilst watching TV. He has been having increasing episodes of SOB lately. He also reports some nausea with no vomiting.
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- I have a history of hypertension, obesity and smoking. I take Noten for my blood pressure and I have no allergies
- After collecting a brief history and determining that this patient is unwell, I would perform a Vital Signs Survey (VSS) beginning with a perfusion status assessment. I would assess the patient's Skin (cool, pale and clammy), Conscious State (alert), Pulse (80BPM) and SBP (175/-)
- I would then perform a Respiratory Status Assessment (Appearance, Speech, Sounds, Resp rate, Rhythm, Work of Breathing, Pulse, Skin Conscious state) and gather adjuncts (ECG, SpO2, temp, BSL GCS), with an ECG needing to be performed within 10 minutes of arrival
- I'll also be doing an ECG and checking a few other vital signs
- After performing a secondary survey that excludes any history of trauma in particular and gaining information about past history, medications, allergies and risk factors, I would then move onto managing the patient and planning for extrication.
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