Stroller - INDIVIDUAL SCENARIO ARM BANDED TEAM MEMBER
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1 2012 ntario Medical First Response Challenge Stroller - IDIVIDUAL SCEARI ARM BADED TEAM MEMBER Background Scenario While pushing a baby stroller through a parking lot between cars, a car came out of nowhere. The parent was able to push the stroller to safety but the vehicle hit the parent. IJURIES Parent Swelling and bruising around RIGHT eye Swelling of SE Bleeding from SE Fractured RIGHT HUMERUS PE LACERATI of RIGHT LWER LEG Baby o injuries when patient assessed CASUALTY PRMPTS Casualty did not lose consciousness, and has no neck pain. Casualty is conscious throughout scenario. Casualty is alert & fully oriented answers questions accurately and obeys commands Casualty has environmental allergies to grass and ragweed. Casualty has a past medical history of asthma. Casualty had a full meal about four hours ago. Casualty takes Ventolin when exercising. AMFR Stroller (Individual) 1 of 10
2 Stroller Baby Doll Medication Containers (Ventolin MDI) PRPS BYSTADER S PRMPTS IF ASKED. Did not see what happened. IF ASKED. Can assist with First Aid procedures as directed. IF ASKED. Thinks it would be better if First Aider called 911 Mother s Vital Signs JUDGES PRMPTS 1 st Set 2 nd Set LC Alert Alert LA Person/ Place/ Time Person/Place/Time Pulse 102 strong/ regular 84 strong/ regular Respirations 22 regular/ shallow 16 regular/ full Skin pale, warm, dry pale, warm, dry Blood Pressure 128/78 118/67 Air Entry(Chest) clear bilaterally apex to base clear bilaterally apex to base Pupils 3mm Equal and reactive 3mm Equal and reactive Allergies: Environmental (ragweed, grass) Meds: Ventolin PMHx Asthma Last ate a full meal 4 hour ago Baby s Vital Signs 1 st Set Subsequent Sets LC sleeping (wakes easily) Awake LA Unable to assess Unable to assess Pulse 120 regular 160 regular Respirations 32 regular/full 30 infant crying Skin pink, warm, dry pink, warm, dry Blood Pressure Unable to btain Unable to btain Air Entry(Chest) clear bilaterally apex to base crying Pupils Unable to assess (closing eyes) Unable to assess (closing eyes) AMFR Stroller (Individual) 2 of 10
3 2012 ntario Medical First Response Challenge Stroller- IDIVIDUAL SCEARI - ARM BADED TEAM MEMBER Please print the following information: Team umber Team Member Judges ame(s) Page 4, Scene / Primary Survey (Possible 460) Sub Total Page 6, 7 Secondary Survey Page 8, 9, First Aid Provided Page 10, 11 Recording (Possible 610) (Possible 430) (Possible 280) Sub-Total Sub-Total Sub-Total Secondary Survey/Treatment Points Total (Possible 1,320) Total Points Awarded Primary + Secondary Total (Possible 1,780) ntario Medical First Responder Challenge 2012 Individual Scenario AMFR Stroller (Individual) 3 of 10
4 SCEE / PRIMARY SURVEY: This section is active for the first 3 minutes of the scenario only. During these first 3 minutes, the competitor may perform the actions that are both listed here and in the Secondary Survey. After the 3 minutes, the competitor is eligible to receive marks only in the Secondary Survey and no marks may be awarded in this Primary Survey. Actions in this section may be done in any order. 1.1 Did First Aider take charge of the situation? S Did First Aider warn casualty not to move? Did First Aider I.D. self? Did First Aider obtain consent to help? A/S P I T S T D E S 20 0 A/S 20 0 A/S Did First Aider obtain consent from Mother to help Baby? A/S Did First Aider call out for help from by-standers? S Were hazards assessed? (Attempted to control traffic?) S Did First Aider put on protective gloves? A Did First Aider determine if there are other casualties? (Baby) 1.10 Did First Aider determine/state the mechanism of injury? (Casualty was struck by passing truck) 1.11 Did the First Aider control the head and neck? **PARET** (C-spine precautions?)!!may be done by bystander if shown proper technique!! 1.12 Did First Aider assess responsiveness? **PARET** (level of consciousness: Casualty is fully conscious: alert & oriented) S 20 0 A/S 20 0 A 20 0 A/S Did First Aider assess airway? **PARET** (patent airway) A/S Did First Aider assess breathing? **PARET** (22, regular) A Did First Aider assess the casualty s circulation - skin condition and temperature? ** PARET** (Skin is pink, warm and dry) 1.16 Did First Aider perform a rapid body survey? **PARET** (Minor bleeding from nose (dried), RIGHT lower leg laceration) 1.17 Did the First Aider assess Responsiveness? **BABY** (Sleeping at first, awake when touched) A 20 0 A 20 0 A/S Did the First Aider assess airway? **BABY** (Patent) A/S Did the First Aider assess breathing? **BABY** (32 regular and full) A Did the First Aider assess circulation? **BABY** (Warm, pink, dry) A Did the First Aider perform a Rapid Body Survey? **BABY** (o gross bleeding, no obvious injuries noted) A Did First Aider activate EMS? A/S Did First Aider also activate/request police? A/S 20 0 AMFR Stroller (Individual) 4 of 10
5 SECDARY SURVEY: Actions in this section may be performed by the competitor in the first 3 minutes of the scenario as well as the Primary Survey. After the 3 first minutes, this is the only section that points shall be awarded to. Actions in this section may be done in any order. 2.0 HISTRY F THE CASUALTY:**PARET** 2.1 Did the First Aider ask casualty s name? 2.2 Did the First Aider ask casualty s symptoms? (Facial pain, right arm & shoulder pain.) 2.3 Did the First Aider ask if casualty has any allergies? (Environmental) 2.4 Did First Aider ask if casualty is taking any medications? (Ventolin when needed) 2.5 Did First Aider ask casualty s past medical history? (Asthma) 2.6 Did the First Aider ask if casualty had eaten? (approx 4 hours ago) 2.7 Did First Aider ask casualty how the incident happened? 3.0 CASUALTY S VITAL SIGS ASSESSMET: **PARET** A/S P I T S T D E 3.1 Did First Aider determine Level of Consciousness? (Fully conscious, alert and oriented person, place, time) 3.2. Did First Aider assess Respiration? (Correct to 22 shallow, and regular.) 3.3 Did First Aider assess Pulse? (carotid or radial K.) (Correct to 102 strong and regular.) 3.4 Did First Aider assess Blood Pressure? (128/78) Must actually auscultate! 3.5 Did First Aider assess Skin Condition & Temperature? (Correct to Warm, Pink and Dry) 3.6 Did First Aider Auscultate the Chest? (Clear lung fields apex to base bilaterally) 3.7 Did First Aider assess pupil response? (3mm equal size and reactivity bilaterally; brisk response) 4.0 CASUALTY HEAD T TE ASSESSMET **PARET** 4.1 Check scalp? (no deformity, no bleeding) A Check eyes? (pupils 3mm, equal and react to light) A Check nose? (dried blood noted) A Check mouth? (no loose teeth, no bleeding) A Check jaw? (pain on palpation of right lower jaw) A Check ears? (ears clear no fluid) A Check neck? (no deformity) A Check clavicles? (no deformity) A Check shoulders? (no deformity) A Check both arms/hands? (upper right arm deformity and pain) A Check chest (symmetric rise) A Auscultate Chest? (at least 4 points of auscultation clear bilaterally) A Check abdomen? (no deformity, tenderness, rigidity or discolouration) A Check back? (no deformities) A Check pelvis? (no deformity, stable when assessed) A Check both legs? (no deformity, laceration RIGHT lower leg, minor A 10 0 bleeding) 4.17 Check both ankles and feet? (no deformity, Pulse, sensation and Motor A 10 0 AMFR Stroller (Individual) 5 of 10
6 5.0 intact) HISTRY F THE CASUALTY:**BABY** 5.1 Did the First Aider ask casualty s name? 5.2 Did the First Aider infer casualty s symptoms? (one) 5.3 Did the First Aider ask mother if casualty has any allergies? (one) 5.4 Did First Aider ask mother if casualty is taking any medications? (one) 5.5 Did First Aider ask casualty s past medical history? (one) 5.6 Did the First Aider ask if casualty had eaten? (Breast fed approx 2 hours ago) 6.0 CASUALTY S VITAL SIGS ASSESSMET: **BABY** 6.1 Did First Aider determine Level of Consciousness? (Fully conscious, alert and appropriate) 6.2. Did First Aider assess Respiration? (Correct to 32 regular, full) 6.3 Did First Aider assess Pulse? (carotid or radial K.) (Correct to 120 regular.) 6.4 Did First Aider assess Blood Pressure? (Unable to assess no cuff appropriate size) 6.5 Did First Aider assess Skin Condition & Temperature? (Correct to Warm, Pink and Dry) 6.6 Did First Aider Auscultate the Chest? (Clear lung fields apex to base bilaterally) 6.7 Did First Aider assess pupil response? (3mm equal size and reactivity bilaterally; brisk response) 7.0 CASUALTY HEAD T TE ASSESSMET **BABY** 7.1 Check scalp? (no deformity, no bleeding) A Check eyes? (unable to assess, infant squinting, unable to open eyes) A Check nose? (no deformity) A Check mouth? (nothing abnormal) A Check jaw? (no deformity) A Check ears? (ears clear no fluid) A Check neck? (no deformity) A Check clavicles? (no deformity) A Check shoulders? (no deformity) A Check both arms/hands? (no deformity) A Check chest (symmetric rise) A Auscultate Chest? (at least 4 points of auscultation clear bilaterally) A Check abdomen? (no deformity, tenderness, rigidity or discolouration) A Check back? (no deformities) A Check pelvis? (no deformity, stable when assessed) A Check both legs? (no deformity) A Check both ankles and feet? (no deformity, Pulse, sensation and Motor A 10 0 intact) PAGE 6, 7 SUB-TTAL PITS AWARDED Secondary Survey (Possible 610) AMFR Stroller (Individual) 6 of 10
7 8.0 RIGHT HUMERUS FRACTURE **PARET** 8.1 Was the injury suspected? 8.2 Was the injury exposed? A Was the fracture immobilized effectively? A Was circulation distal to the injury assessed? (capillary refill / nail-bed test/ radial pulse) 8.5 Was circulation distal to the injury assessed after immobilized? (capillary refill / nail-bed test/ radial pulse) 9.0 RIGHT LWER LEG LACERATI **PARET** 9.1 Was the laceration discovered? 9.2 Was circulation distal to the injury assessed? (capillary refill / nail-bed test/ pedal pulse attempted) 9.3 Was a dressing applied and bandaged effectively? A Were bandages checked for tightness? A Was circulation distal to the injury reassessed after bandaging? (capillary refill / nail-bed test/ pedal pulse attempted) 9.6 Was the bandage reassessed for bleeding through? 10.0 SHCK AD GEERAL **PARET** 10.1 Was shock suspected? 10.2 Was casualty covered over to lessen shock? A Was casualty reassured? 10.4 Was casualty reassured more than once? 10.5 Did First Aider REASSESS Level of Consciousness? (fully conscious, alert and oriented person, place, time) 10.6 Did First Aider REASSESS Respiration? (correct to 16 shallow, and regular.) 10.7 Did First Aider REASSESS Pulse? (carotid or radial K.) (correct to 84 strong and regular.) 10.8 Did First Aider REASSESS Blood Pressure? (118/67) Must actually auscultate! 10.9 Did First Aider REASSESS Skin Condition & Temperature? (correct to Warm, Pink and Dry) Did First Aider REASSESS chest? (Clear lung fields apex to base bilaterally) Did First Aider assess pupil response? (3mm equal size and reactivity bilaterally; brisk response) Did First Aider determine that casualty was feeling nauseous? 11.0 General Treatment **BABY** 11.1 Did the First Aider attempt to keep baby warm? A Did First Aider REASSESS Level of Consciousness? (fully conscious, alert and appropriate) 11.3 Did First Aider REASSESS Respiration? (correct to 30, infant crying) 11.4 Did First Aider REASSESS Pulse? (carotid or radial K.) (correct to 160 regular.) 11.5 Did First Aider REASSESS Blood Pressure? (Unable to assess, no proper size cuff) 11.6 Did First Aider REASSESS Skin Condition & Temperature? (correct to Warm, Pink and Dry) 11.7 Did First Aider REASSESS chest? (Clear lung fields apex to base bilaterally) 11.8 Did First Aider assess pupil response? (3mm equal size and reactivity bilaterally; brisk response) 11.9 Did the First Aider allow the baby to be with mother? AMFR Stroller (Individual) 7 of 10
8 12.0 PERSAL PRTECTIVE EQUIPMET 12.1 Were gloves effective? (Judges ote: torn gloves must be replaced.) A Did First Aider change gloves between contact with mom and baby? A HADVER T EMS 13.1 Did the First Aider identify themselves to EMS? 13.2 Did the First Aider identify the casualty? (name & age) **PARET** 13.3 Did the First Aider identify the casualty? (name & age) **BABY** 13.4 Did the First Aider identify the patient s chief complain? A 10 0 (RIGHT upper arm fracture, RIGHT leg laceration ) 13.5 Did the First Aider report physical findings? A 10 0 (Facial swelling, RIGHT arm deformity and pain, RIGHT lower leg laceration) 13.6 Did the First Aider report the treatment of the injuries? A Did the First Aider report the past medical history? A 10 0 (Asthma and environmental Allergies) 13.8 Did the First Aider report vital signs? A Did the First Aider report the response to treatment provided? A 10 0 PAGE 8, 9 SUB-TTAL PITS AWARDED Treatment (Possible 430) AMFR Stroller (Individual) 8 of 10
9 14.0 RECRDIG **PARET** 14.1 Was the date and time recorded? 14.2 Was the casualty s information recorded? **(At least name and age)** 14.3 Was the First Aider s name recorded? 14.4 Was incident history recorded? 14.5 Was mechanism of injury recorded? 14.6 Was the initial Level of Consciousness recorded? 14.7 Was the initial ABC status recorded? 14.8 Were the patient s symptoms recorded? 14.9 Was the patient s environmental allergy recorded? Was the patient s medication recorded? (Ventolin) Did the First Aider record when/what the patient last ate? Was the dried blood from the nose recorded? Was the swelling around the right eye recorded? Was the humerus fracture recorded? Was the leg laceration recorded? Was the 1 st vital signs Level of Consciousness recorded with the time taken? Was the 1 st vital signs Respiration recorded with the time taken? Was the 1 st vital signs Pulse recorded with the time taken? Was the 1 st vital signs Skin Condition & Temperature recorded with the time taken? Was the 1 st vital signs Blood Pressure recorded with the time taken? Was the 1 st vital signs Chest assessment recorded with the time taken? Was the 1 st vital signs Pupillary assessment recorded with the time taken? Was the 2 nd vital signs Level of Consciousness recorded with the time taken? Was the 2 nd vital signs Respiration recorded with the time taken? Was the 2 nd vital signs Pulse recorded with the time taken? Was the 2 nd vital signs Skin Condition & Temperature recorded with the time taken? Was the 2 nd vital signs Blood Pressure recorded with the time taken? Was the 2 nd vital signs Chest assessment recorded with the time taken? Was the 2 nd vital signs Pupillary assessment recorded with the time taken? Was notification of EMS recorded? Was notification of police recorded? RECRDIG **BABY** Was the date and time recorded? Was the casualty s information recorded? **(At least name and age)** Was the First Aider s name recorded? Was incident history recorded? Was mechanism of injury recorded? Was the initial Level of Consciousness recorded? Was the initial ABC status recorded? Were the patient s symptoms recorded? Was the patient s allergy recorded? (none) AMFR Stroller (Individual) 9 of 10
10 14.41 Was the patient s medication recorded? (none) Did the First Aider record when/what the patient last ate? Was the 1 st vital signs Level of Consciousness recorded with the time taken? Was the 1 st vital signs Respiration recorded with the time taken? Was the 1 st vital signs Pulse recorded with the time taken? Was the 1 st vital signs Skin Condition & Temperature recorded with the time taken? Was the 1 st vital signs Blood Pressure recorded with the time taken? (If no time recorded, then no mark.) Was the 1 st vital signs Chest assessment recorded with the time taken? Was the 1 st vital signs Pupillary assessment recorded with the time taken? Was the 2 nd vital signs Level of Consciousness recorded with the time taken? Was the 2 nd vital signs Respiration recorded with the time taken? Was the 2 nd vital signs Pulse recorded with the time taken? Was the 2 nd vital signs Skin Condition & Temperature recorded with the time taken? Was the 2 nd vital signs Blood Pressure recorded with the time taken? Was the 2 nd vital signs Chest assessment recorded with the time taken? Was the 2 nd vital signs Pupillary assessment recorded with the time taken? PAGE 10, 11 SUB-TTAL PITS AWARDED Recording (Possible 280) AMFR Stroller (Individual) 10 of 10
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