Scenario: Screwdriver CPR

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:
This scenario is about getting people to have a bit of a think in a less standard resus situation. The patient is not breathing and has a screwdriver impaled in the centre of their chest. The first aiders have been called in to the house by a relative. It's not entirely clear how the screwdriver ended up in the patient's chest.
First Aider Moderate
How the scenario should progress:
You need to give the first aiders enough time to think through what they are going to do. It's probable that it won't be a perfect resus but helps people remember that it's unlikely to always be 'straightforward'.
Patient 1:
Name: Jonathan Burke    Age: About 60    Sex: Male
Medication: None Known
Allergies: None Known
Past medical/family/social history: The family member tells you that the patient is usually fit and well.
Findings on examination: Not breathing. Bleeding from wound where screwdriver has entered chest. No other significant injuries will be found.
Possible treatment from first aiders: Primary survey. Work out how best to do CPR. Get help.
Time after start: O mins
Response: U
Airway: Yes
Breathing? No

Tips for the patient actors:
A CPR doll is ideal for this one. If you can find a screw driver handle (perhaps a toy one) and attach it to the chest and add some fake blood this will help add to the scenario.

Scenario submitted by: Anonymous