Podcast
Questions and Answers
What is the age of the male patient experiencing chest pain and shortness of breath?
What is the age of the male patient experiencing chest pain and shortness of breath?
78 years old
What is one of the medications the elderly male patient is taking?
What is one of the medications the elderly male patient is taking?
What vital signs were recorded for the 78-year-old male patient?
What vital signs were recorded for the 78-year-old male patient?
What was the height of the tree that the 40-year-old man fell from?
What was the height of the tree that the 40-year-old man fell from?
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What interventions will be applied for the 40-year-old man with injuries?
What interventions will be applied for the 40-year-old man with injuries?
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Did the patient at the frat house regain consciousness after losing it?
Did the patient at the frat house regain consciousness after losing it?
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What is the blood sugar level for the 65-year-old female who fell while grocery shopping?
What is the blood sugar level for the 65-year-old female who fell while grocery shopping?
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What symptoms did the child with acute shortness of breath display?
What symptoms did the child with acute shortness of breath display?
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What is the age of the female who was gored in the chest by a goat?
What is the age of the female who was gored in the chest by a goat?
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Study Notes
Card 1: Chest Pain in 78-Year-Old Male
- Patient is a 78-year-old male post-bypass surgery with chest pain and shortness of breath.
- Vital signs: BP 110/75, pulse 132, RR 23 (shallow), SpO2 90%, skin pale and warm.
- Exhibits jugular vein distention (JVD) and dependent edema.
- Medication: Viagra.
- SAMPLE history should cover heart problems, heart attacks, and lifestyle choices.
- OPQRST: Onset last night, pain does not improve with rest, aching quality, radiates to chest, severity 8/10, duration continuous.
Card 2: Fall from Tree in 40-Year-Old Male
- Patient is a 40-year-old male who fell 21 feet from a tree while building.
- Sitting with vital signs: BP 118/76, pulse 100, RR 18, SpO2 97%, skin pale and warm.
- Secondary assessment reveals broken ankles, contusion to the back of the head, swelling on the wrist, and abrasions.
- Interventions include using pillow splints for ankles and a padded board for the wrist, with consideration for a long backboard.
- Conduct a PMS (pulse, motor, sensory) check following immobilization.
Card 3: Head Injury in Frat House
- Patient is a male found sitting on a couch, previously lost consciousness after a head blow.
- Initial assessment shows patient responds only to verbal and pain stimuli, but oriented.
- During secondary assessment, patient loses consciousness; vital signs prior: BP 127/89, pulse 57, RR 30, SpO2 99%.
- Upon losing consciousness: BP 130/96, pulse 45, RR 38, SpO2 99%, and pupils become uneven.
- Interventions include C-collar, backboard immobilization, high-flow oxygen, and rapid transport.
Card 4: Hypoglycemia in 65-Year-Old Female
- Patient is a 65-year-old female who fell while grocery shopping, displaying irritability before the fall.
- Blood sugar levels at 54 indicate hypoglycemia.
- Vital signs: BP 108/68, pulse 128 (weak), RR 22 (shallow), skin cool and clammy.
- Interventions include high-flow oxygen via BVM (Bag-Valve-Mask), rapid transport, and administration of juice or glucose.
Card 5: Respiratory Distress in 5-Year-Old Child
- 5-year-old child presenting with acute shortness of breath, recently experienced an upper respiratory infection and low-grade fever.
- Signs of respiratory distress and drooling are evident upon approach.
- Vital signs: BP 108/76, pulse 96, RR 26 (rapid and shallow), SpO2 92%, skin appears pale.
- Intervention: Administer blow-by oxygen (6L/min) and prepare for rapid transport with ALS (Advanced Life Support) on standby.
Card 6: Trauma from Goat Gore
- Patient is a 25-year-old female with a chest injury caused by a goat goring.
- Further details and assessments needed to understand the full scope of injury and treatment plan.
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