You are on cover as a CFR in your local area when Ambulance Control calls you for a collapsed patient in a local Highstreet. The job is only 5 minutes away, and control informs you an Ambulance is 20 minutes from the scene.
You park up to find a young adult male unconscious in the street. Another male is with him and explains to you that they have been injecting heroin this morning. He thinks they had a bad batch, and his friend started being sick and went unconscious. The patient is laying on his back on the floor and looks blue in the face
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You approach the patient and try to get a response, but they are completely unconscious. You look around the area for any sharp risks but see nothing yet of concern. You investigate his airway and can see lots of vomit and secretions. The patient also doesn’t seem to be breathing, but currently has a weak pulse. What is the first area of management
You identify the airway needs clearing rapidly. From the history given to you, there is no evidence of trauma or injury. What action can you conduct to try and quickly clear the airway
You place the patient on their side and open the airway. Lots of vomit empties onto the pavement. You investigate the airway again but still see vomit and secretions present at the back of the throat. What further action can you complete to clear the airway
You suction any remaining vomit and secretions, fully clearing the airway. You reassess for respirations and count at 4 per minute. What is the normal range of respirations in an adult patient
You recognise that this rate is too slow, and looking from the blue face of the patient, they are not getting enough oxygen. You remove the BVM from your bag and attach oxygen. What first stepwise airway manoeuvre can you use for optimal ventilation
You attempt ventilations with the head tilt chin lift position but find this is not effective. You apply a jaw thrust, but again, ventilations are poor. What next stepwise airway adjunct can you use
Your ventilations are now effective utilising the OPA, and you can see the blue tinge in the patients’ face disappear. You maintain ventilations in this position as the patient still has a low respiratory rate. You are aware that you cannot go further in your patient assessment, what should you do
As you ventilate the patient they start to groan and rouse. They start to gag on the OPA and try to remove it with their hand. What should you do
You remove the OPA and the patient sits up in a groggy state. They start to get up and leave. What should you advise them
As the patient gets up, the Ambulance arrives on scene. What information do you include in your handover
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