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Saline
You hang a bag of saline and give it a little squeeze. It seems to be flowing adequately. You look up as you hear the driver announcing his arrival at the hospital to the dispatcher:
Mortimer: "BLS 2 - arriving at Greensludge!"
You extend the I-V pole on the stretcher and hang your bag. The EMT-Basic continues ventilating the patient as you and the driver remove the stretcher from the ambulance and wheel him inside. The ER was expecting CPR in progress, so there is a small group huddled around the nurse's station awaiting your arrival.
Nurse: "We were expecting a code. How's he doing?"
Valerie:: "A little better now. Has a reasonable rhythm but he's still in respiratory arrest. I haven't managed much in the way of vitals yet - it was a pretty short ride."
The attending physician looks a little confused as he looks at the machinery attached to the patient.
Physician: "You're pacing him? Is he bradycardic?"
Valerie:: "Err... no. It's an automated defibrillator. They have big round pads like a pacer."
Bob: "Where do you want him? My hand is getting cramped working this ventilation bag!"
You and the hospital staff take the patient into one of the rooms and get him settled in. Having obtained a signature and collected your things, you walk out to the ambulance bay to meet your partner. You find him sitting in the driver's seat of your intercept unit.
Valerie:: "What happened to you?"
Partner: "Well... I peeked in the back. He wasn't coded and you seemed to have things well in hand so I hung back."
Valerie:: "I best not see a pattern emerging with that! You're working the next job - I hope it's a GI bleed."
GOOD JOB. YOU'VE COMPLETED SCENARIO 26 TITLED
"CODE BLUE FOR TWO" AS MENTIONED
BEFORE WE WILL ATTEMPT TO PROVIDE NEW SCENARIOS EVERY MONTH.
For comments on the Pre-Hospital Care Simulator, please write to : jmateus@LessStress.com . Again, please, no arguments over regional treatment protocols.
To go back and play this scenario as Bob Czagrinski, click here.
For old scenarios no longer "on the air", click here.