Scenario: A few steps too far

Please note: The users who submit scenarios have declared that all patient details are fiction. We cannot guarentee the accuracy of any suggested treatment or the realism of suggested observations. You should judge these for yourself.


(Average: 5, Number of raters: 1)
Number of downloads: 2514
Download PDF  

Scenario Overview:
The first aiders are at a running event on a hot and sunny day and are called to a patient who has reportedly collapsed. On arrival they will find a voice responsive patient lying at the side of the road. The people around say that the patient just came to lean on the side barriers and then fell onto the road. There are quite a few runners running down the course around the patient.
First Aider Easy
How the scenario should progress:
The patient will be very hot and dehydrated. With active cooling, they will begin to recover and become more alert. If the patient is not cooled, you should get them to deteriorate.
Patient 1:
Name: Taylor Lynch    Age: 36    Sex: Male
Medication: Salbutamol Inhaler
Allergies: None known
Past medical/family/social history: Usually fit and well. Hadn't done that much prep for this race but thought they'd give it a go.
Findings on examination: The patient is very warm to touch and is covered in sweat. They are a bit confused and don't seem 100% sure of where they are. They have an elevated pulse and are breathing fairly quickly and shallowly. The patient appears a bit sunburnt on his arms and face. The first aiders don't find any injuries from falling onto the road.
Possible treatment from first aiders: Try to actively cool the patient with whatever is available to them. Take a good history and assessment of the patient and monitor. If they cool the patient and they consequently improve, make decision on whether they need hospital or not.
Time after start: 0 mins 5 mins (assuming cooling) 10 mins
Response: Voice Alert Alert
Airway: Yes Yes Yes
Respirations: 28 shallow 23 more normal 18 normal
Pulse: 130 110 101
Oxygen Sats: 94% on air 95% on air 95% on air
Temperature: 38.5 37.8 37.2

Tips for the patient actors:
Act much more confused at the beginning but get more with it later on if the first aiders cool you down. If they do not try and cool you down, you will deteriorate.

Scenario submitted by: Anonymous