AROGYA 2014
“MEDICALit”
Emergency care competition
Guide to
Managing real life Case scenarios
Fainting
Attack
A
dummy with severe head injury is on scene. He is dead and gone already.
His
relative witnessing the scene has fainted. The competitors are unaware that he
has fainted. Tell them that one person was fallen from a height and the other
witnessing the event collapsed. The competitors are expected to assess the
diseased, that he has no pulse, no breathing and his brain matter are out.
Triage basics are assessed it’s best to leave dead alone or employing just one
person to him and other two handling the fainted person Fainted actor is
expected to gain consciousness when legs are elevated and case is complete when
put to recovery position.
Fainting Attack-Steps
to follow
Leadership/Diagnosis
Basic
Triage and avoiding already dead person
Air way,
Breathing and Circulation assessment of both subjects
Untie
tight clothing
Elevate
legs
Recovery
position
Accuracy
in techniques
Completing
the task in time
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Major
Bleeding(forearm)
An actor
telling that he got a cut from a wood cutting machine mimics bleeding from a
major vessel in the forearm. He may act panicked and is expected to settle with
a word of reassurance. Splints, clothes, binding material available in the
vicinity are expected to be utilized. Position. They are expected to prevent
subject from drinking water a to keep him fasting for General Anaesthesia.
Major Bleeding(forearm-Steps to
follow)
Leadership/Reassurance
Expose
and assessment of injury
Assessment
of distal pulse
Compression
Elevation
Splinting
Compression
of major artery
Avoiding
oral feeds
Completing
the task in time/Working Diagnosis
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Fracture
Femur
An
athlete following triple jump experienced sever pain of the R/thigh with the
fall. He is unable to stand up. Actor may shout in agony. Competitors are
expected to proceed according to the steps in the marking scheme. They can use
the splints available at the vicinity for splinting. Case is complete when
splinting is complete and ready to evacuate. They are expected to prevent
subject from drinking water a to keep him fasting General Anesthesia.
Fracture Femur
Leadership/Working
Diagnosis
Assessment
of the site and reassurance
Immobilize
and splinting
Assessment
of distal pulse (Before and after splinting)
Accuracy
in splinting techniques
Avoiding
oral feeds
Completing
the task in time
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Ankle
Sprain
An office
worker is tipped from stairs and says he cannot bare weight on Right foot, as
the ankle is hurting. Competitors are expected to proceed according to the
marking scheme and should have the doubt that it could even be a fracture.
Case is
complete when splinting is complete and ready to evacuate. They are expected to
prevent subject from drinking water a to keep him fasting General Anaesthesia.
If
evacuation stretcher is not available, ask how they expect to evacuate him.
(Flat with affected leg elevated.)
Ankle Sprain
Leadership/Working
Diagnosis
Assessment
of site
Immobilize
Splint
Ice
Elevate
Evacuate
Complete
task in time
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Choking
Attack
Suddenly
a classmate has started acting panicked holding his throat, while eating
“Rambutan”. He has choked “Rambutan” seed. He’s unable to talk. Competitors are
expected to proceed according to the steps laid down in the marking scheme and
attempt up to “Heimlich” maneuver and even repeating back blows. Actor
is expected to split out something when the competitors are repeating a
maneuver, implying the completion of the case
Choking
attack
Leadership/Working
Diagnosis
Reassure
the patient/encourage coughing
ABC
assessment
Avoid
attempt to manually remove
Back
blows
Heimlich
maneuver attempt
Repeat
maneuvers
Emergency
number
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