Friday, March 14, 2008

hello. here to post all the cases done by fac teams tday. uhh, the nursings' cases were based on memory so yupp, sorry if i missed out anything.

case#1:
A and B were cycling at bukit timah nature reserve when A tripped over a rock and fell off. B got off to find help but was bitten by a snake.
Okay, basically this case they NORMALLY will have crush injury of more than 15min, and of course, snake bite. treatment usually is reassure A, do head-to-toe analysis, check for shock. Do not remove crush object if more than 15min. For B, try not to let casualty lie down(keeping wound below heart level), apply direct pressure if bleeding is severe, check for DRABC and do head-to-toe analysis.
case#2:
A was handling a machine when four of her fingers on her left hand were cut off. B saw this and fainted.
For A, collect the amputated parts ASAP, wrap with gauze, put in a plastic bag/foil, put in a plastic bag of ice. The stud(or idk what its called) apply direct pressure if there is severe bleeding, put gauze and secure with bandage. Check for DRABC, do head-to-toe analysis, and remember to check for shock(most likely present). For B, check for DRABC, most likely need cpr, do head-to-toe analysis, if no other injuries put in recovery position, reassure casualty.
case#3:
A put her finger into an electrical socket and collapsed. B saw it happening and went hysterical.
Remove danger by switching off the main. enter scene after 30s. For A, flood sites of injury with water(there will be burns at entry and exit wounds), check for ABC, do head-to-toe analysis. For B, try to calm her down, reassure her, ask for information. If B hyperventilates, regulate her breathing, with the use of paper bag if any.
case#4:
A just bought a bouquet of flowers and was about to cross the road when a car knocked him down and drove away. His wife, B, witnessed this and hyperventilated.
If possible, note down the car plate number. Barricade the area by asking someone to park his car a distance away to block out any oncoming vehicles. For A, check for neck deformities(suspected spinal injury) and DRABC. Do not stop treatment even though he is most probably dead. For B, regulate the breathing with/without use of paperbag, and reassure her.
case#5:
A owes a group of loan sharks money. B is one of the loan sharks and when demanding the debts, he cut off A's left ear and pushed him down the stairs. B fainted at the sight.
Collect the knife first. For A, treat amputated left ear and apply direct pressure to the bleeding wound. Apply ear bandage. Check for neck deformities(suspected spinal injury) and conduct head-to-toe analysis and do fullbody immobilisation if necessary. Check for DRABC. Reassure casualty. For B, check for DRABC. Do head-to-toe analysis on the casualty. Reassure casualty.
case#6:
A was raped by B and slashed B's abdominal area with a knife. A later attempted to run away but slipped and knocked her head.
Try to cover the victim with a blanket(prevent modesty). For A, check for DRABC and head injuries. Do head-to-toe analysis as there might be bleeding at other parts of the body. For B, there might be protruding intestine. If there is, cover with plastic foil. If wound is horizontal, you can bend/elevate his lower limb. If it is a vertical wound do not elevate. Check for DRABC and conduct head-to-toe analysis.

the rest are cases done by ambulance im not very sure of the standard treatment but i TRY okay(:
case#7:
A was running during an annual school marathon when he suddenly felt weak and collapsed onto the ground. The day was noticed to have a much higher temperature than normal days. His friend B witnessed the incident and went over to help but he tripped over a kerb.
Move casualties to sheltered area. For A, most likely he's suffering from heat stroke so just cover with wet blanket and remove if he starts shivering/every 10min. Replace with dry blanket. Continue replacement of blanket until temperature falls under normal range. Check for any deformities/shock etc. For B, do head-to-toe analysis. He might have a dislocation/ fracture/ sprain somewhere at his lower limb or maybe abrasions. So immobilise/ apply cold compress if necessary.
case#8:
Class 2B was playing football in their classroom. A, being inexperienced, kicked too hard and hit on the fan. The fan dropped on A immediately. His friend, B, witnessed the accident and had an asthma attack.
For A, check how long the fan has been on the casualty, if more than 15 min then do not remove, if less than 15 min remove. Check ABC, do head-to-toe analysis, reassure casualty. For B, try to look for his inhaler, regulate his breathing, reassure casualty.
case#9:
A, in an attempt of suicide, crossed the AYE along NUS high school. The time was noted to be 7.30am. B, who was driving along at the same time, braked at a force huge enough to topple his cup of hot coffee over his thighs. A flew a distance of 6m.
Barricade the area(possibly using the car of a passerby). For A, check for neck deformities(to confirm spinal injury) and check for ABC. Conduct head-to-toe analysis. If suffering from spinal injury, do fullbody immobilisation. For B, reassure casualty, douse burned area with cool water for at least 10min, check for other injuries.
case#10:
A was cutting some vegetables for dinner. He accidentally chopped off his finger and was bleeding profusely. His brother B, witnessed the whole incident and fainted.
Collect and treat amputated part. For the stud(??) on A's hand, apply direct pressure. Cover with gauze and secure with bandage. Check for other injuries. For B, check for ABC, after which check for other injuries.
case#11:
A is a gay rapist and targetted B in a dark, stormy night. After the rape, A attepmted to kill B using a lonng metal rod. However, a sudden flash of lightning struck the rod and A fell onto the ground. B, on the other hand, was in a delirious state.
Enter scene after 30s, if possible try to remove casualty to a safer place. Check for ABC for A, and do head-to-toe analysis. Flood entry and exit wounds with water for at least 10min. For B, reassure casualty, conduct head-to-toe analysis, monitor pulse and breathing rate. Check for shock.

okayy, thats about it. i think there might be some errors in the treatments so anyone can just tell any admin ppl of this blog so we can change thankyou!(:

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