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Scenario: Typically Intoxicated


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 dealing with a generally intoxicated patient who doesn't actually have much wrong with them - a patient we've probably all dealt with time and time again. The first aiders are called by some people who have passed a guy who is apparently just slumped against a wall down the road. On arrival, you will find a the patient who will be trying to pretend that they are actually asleep (and so will need a good response check). Once roused, they will be alert.
Difficulty:
First Aider Easy
How the scenario should progress:
The patient will stay alert throughout after the initial response check although will say he just wants to go to sleep.
Patient 1:
Name: Cornelius Erickson    Age: 52    Sex: Male
Medication: Has drunk one and a half bottles of wine this evening. Has taken no other drugs.
Allergies: Cats
Past medical/family/social history: Broke his leg when he was younger playing football but has no issues with it now.
Findings on examination: The patient will have typical symptoms of someone a bit intoxicated. No injuries can be found on a head to toe survey. Patient is alert enough to fully communicate. Patient has not hit head and says that they just sat down to have a bit of a snooze before heading up the hill home (about 5 mins walk away). The patient vomited just before he sat down for a nap but doesn't vomit whilst the first aiders are present. The patient just says that he wants to go to sleep and is fine. The patient will be able to stand without being too unstable.
Possible treatment from first aiders: Primary survey, good history and assessment.
Time after start: 0 mins 5 mins 10 mins
Response: Alert once roused Alert Alert
Airway: Yes Yes Yes
Respirations: 16 15 16
Pulse: 90 fairly strong 86 88
Blood Pressure: 125/85 128/90 127/89
Temperature: 37.1 37.1 37.1
Blood Glucose: 5.4 5.4 5.3



Tips for the patient actors:
When the first aiders arrive, pretend to be asleep but when they do a pain response move to being fully alert because actually you were just wanting a snooze. You aren't combative but just want to have a kip.

Scenario submitted by: Anonymous