Re: Another Chance at the Trip To Ladonia

[Guest guest]

> YOU MAY ALREADY HAVE WON A TRIP TO LADONIA! JUST CORRECTLY

INTERPRET THIS

> SCENARIO.

>

> You arrive on scene to find a 45 year old male supine on the

floor.

> Bystanders say that he fell from standing position. He is not

moving. His eyes are

> open and he is breathing, but he does not respond verbally to your

questions.

> However, he does blink his eyes when you ask him to. There is

perhaps 5 ml of

> blood on the floor that appears to have come from the back of his

head. His

> right pupil is twice as large as his left, about 6 mm, and it does

not react

> to your flashlight beam. The left pupil responds sluggishly. Your

patient is

> breathing on his own at about 12 per minute., he has a radial pulse

at about

> 92, and his Sat is 98% on room air.

>

> You also immediately notice that the patient has strange looking

tumors all

> over his face and other parts of the body that you can see. Upon

quickly

> exposing the patient here is what you see:

>

>

>

>

>

>

>

> You look in the patient's mouth and see this:

>

>

>

> He is producing saliva and there is a lot of it in his mouth. A

few minutes

> later he vomits up what looks to be some orange juice.

>

> In order to win the trip to Ladonia, you must answer the following

questions:

>

> 1. What condition does this patient have? I'm gonna take a WAG,

guessing he's been exposed to mustard gas.

>

> 2. What extra precautions, if any, must you take while handling

this patient? You should be in Level a or Level B suits with SCBA.

>

> 3. What decontamination methods will be needed after handling this

patient,

> both as to your person, the ambulance, and in the ED? He should be

gently showered with soap and water and should not be placed in the

ambulance until he has been. The receiving facility should be

prepared to manage his exposure. You will also have to be deconned

upon delivery of the patient to the ED.

>

> 4. What factors will influence your airway management decisions?

(reply in > terms of your level of training). Bronchodilators,

possibly, assisted ventilations and possible intubation.

>

> 5. Name at least three possible causative physiological events

that might

> have happened to cause your patient's current condition. Mustard

Gas, Phosgene and ite.

>

> Good luck!

>

> P.S. Just to whet your appetite, here's the special accommodation

that

> you'll occupy in Ladonia.

>

> THE BUNGALOW AT THE INN OF LADONIA

>

>

> Best,

>

> GG

>

>

>

[Guest guest]

Here is the URL to scenario for Landonia.

http://f5.grp.yahoofs.com/v1/IGfeP1oyHe9-

Nis5cYX0kPpYcWQZvTvgiyoP8OFoH6yWqk7d9hjyDUi2_1_HrU5PbZZexE7N_80ug5IBdJ

wQVJbzX8G1/Trip%20to%20Ladonia/YOU%20MAY%20ALREADY%20HAVE%20WON%20A%

20TRIP%20TO%20LADONIA.doc