You are working as a Police Medic on shift, responding to a disturbance outside a property. A person was seen climbing into a private garden and then collapsed. It’s mid morning and you arrive on scene. You enter the garden with your medical kit and see the patient laying on the floor, unconscious. They are a male in their late 20’s. As you approach, you note they are blue in the face, and they have a poor respiratory effort.
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You try and rouse the patient but there is no response. You start your patient assessment. What is the order in which you should check the patient
You quickly assess for any catastrophic haemorrhage, but cannot see any. Moving onto airway, you quickly glance inside and can see it is full of vomit. You don’t suspect any c-spine trauma from the history. What can be done to help quickly clear the airway
Your colleague assists you to roll the patient on their side. You open the airway and this helps clear the vomit that has collected. You re-assess the airway and can see it is now clear. You assess the breathing but the rate is still low, around 4 breaths per minute. What is the typical respiratory rate per minute in an adult
You remove your BVM from your bag and start to ventilate the patient. You do a head tilt, chin lift manoeuvre, but find you are struggling to make a seal. What can have a negative effect when trying to create a seal with a BVM (multiple answers)
Your colleague passes you some paper roll and you wipe down the patients’ face. Removing the secretions, you are now able to get a better BVM seal and ventilate the patient. At what rate should you ventilate the patient
Ventilating the patient, their colour starts coming back to normal. Your colleague updates you there’s an ambulance 5 minutes away. You ask your colleague to continue assessing and remove some of the patients’ clothing to expose their skin. You note on the patients’ arms evidence of drug and needle use. You look at the patients’ eyes and can see that the pupils are pinpoint in size. What drug type can cause these symptoms in patients
Following these findings, what is the likely cause of the symptoms in this case
What medication can be given to assist where available, reversing the effects of opioids within the patient
Within this practice scenario, your Police Medic character has had the training to be able to give Naloxone intra-muscular to the patient. What dosage is this given in
You administer 400 mcg Naloxone to the patient and continue to manage airway and respirations. The Ambulance crew arrives, what information do you handover to them
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