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Scenario: Mind the Stove


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.



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Scenario Overview:
The first aiders are called to a man who has burnt himself whilst cooking. They find the man sat in his kitchen crying and hunched over his right arm. The arm is very red and slightly blistered. You note when he looks to you that his face is also burnt. Any previous hot liquids have been cleared away. This scenario is about initial burns treatment.
Difficulty:
First Aider Easy
How the scenario should progress:
The patient will say that the pain feels better when the wound is cooled. You could get the patient to be in shock that eventually leads to deterioration into unresponsiveness.
Patient 1:
Name: Clive Brimmer    Age: 54    Sex: Male
Medication: Aspirin, 'Asthma inhalers'
Allergies: None Known
Past medical/family/social history: Asthma
Findings on examination: Arm burn circumferential, starts at elbow and ends at finger, partial blistering. Patient in extreme pain when arm is moved or touched. Burn is warm to touch. Facial burn is superficial only although is causing minor swelling on the right hand side, particularly around lips but does not have a significant impact on the airway.
Possible treatment from first aiders: Cool the burn (run under cool water). Cover the burn appropriately. Keep patient warm and consider oxygen if trained.
Time after start: 0 mins
Response: Alert
Airway: Yes
Respirations: 23 Regular
Oxygen Sats: 94
Pain Score: 7/10 on arm
Blood Pressure: 110/66
Temperature: 36.4
Blood Glucose: 4.6



Tips for the patient actors:
A good way of simulating blisters is to put down a thin layer of vaseline and lay some single-ply tisse over it.

Scenario submitted by: Anonymous