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Scenario: Bed Arrest


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: 4, Number of raters: 3)
Number of downloads: 1387
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Scenario Overview:
The first aiders are called to a patient who is lying on their bed at home by a rather panicked family member. The patient will be not breathing. The scenario is all about checking whether the first aiders realise CPR is ineffective if carried out on a bed.
Difficulty:
First Aider Easy
How the scenario should progress:
The scenario should progress like a 'normal' resus scenario until the ambulance arrive. The patient will not start breathing even if shocks are delivered with a defibrillator. You could also get the family member to interact more with the first aiders to test how they communicate and if they comfort them.
Patient 1:
Name: Brian Brown    Age: 68    Sex: Male
Medication: Warfarin
Allergies: None known
Past medical/family/social history: History of heart disease but it hasn't affected Brian's life too much, he just has to slow down a bit.
Findings on examination: The first aiders will find the patient not breathing. No obvious injuries. No obvious cause.
Possible treatment from first aiders: Primary survey followed by CPR and getting help. Request for a defibrillator. The first aiders should move the patient from the bed onto the floor to carry out CPR. If trained, they may also want to use oxygen, airway adjuncts and a BVM.
Time after start: 0 mins
Response: Unresponsive
Airway: Yes
Breathing? No



Tips for the patient actors:
You could use an actor initially to test how the first aiders remove the patient from the bed but otherwise a CPR doll can be used.

Scenario submitted by: Anonymous