You are on a volunteer shift as a first responder when you are allocated to a 26-year-old male with breathing difficulty. The address is only a short drive away, and control inform you that an Ambulance with Paramedic support is 10 minutes away.
You arrive on scene and are ushered into the property by a concerned family member. You are taken to the kitchen where you see the patient. He is in a tripod position, looking very tired, with a blue tinge around his mouth. The family member explains he has asthma, and it has been bad for a few days. Today it has rapidly got worse and now the patient is struggling to breathe.
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You start to assess the patient with a primary survey. You note the blue tinge around his lips and rapid respiratory rate with little air movement. In an asthmatic patient, what area will the primary issue be involved with
You note the inhalers and ask if he has been taking them, the patient cannot answer your question due to being too breathless. The family member explains they have taken the inhalers multiple times but to no avail. You can see there is very poor respiratory effort with the patient. What severity of asthma can this be classed as
You see the cyanosis starting to spread around his face and see the blue tinge in his fingers. What is this a sign of
You have basic airways, a BVM, response bag, O2 masks and cylinder. What treatment can you give to assist with this
As you go to apply the mask, the patient collapses on the floor. His breathing has increased significantly. You quickly count respirations of around 45 per minute, with poor movement of air. What should you do to assist in this situation
You start to ventilate the patient. You note that there is no air entry when the patient is breathing by themselves, and listening to the chest, you can’t hear anything. There is a term used for describing this in asthmatic patients, what is it called
You note the severity of the situation as you try to assist the patients’ ventilations. You are struggling to get a good seal with the mask but are struggling to get any effective ventilations. The patients’ level of consciousness is reducing, what can you do to help with mask seal and ventilation in the stepwise airway approach
Applying a head tilt chin lift gets a better seal and ventilations. You assist ventilations as best you can. Where there is respiratory failure, the patient still has a heartbeat. What term can be used to describe this
You note the patients’ breathing has now stopped and you can no longer feel a pulse. What actions should you start now
You attach your AED and start Basic Life Support. The defibrillator advises no shock, and you continue with CPR. The Ambulance has arrived, and 2 Paramedics enter the property and start assisting you. What information do you include in your handover to them
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