Consider this...
You receive a 911 dispatch about a girl having a [severe] panic attack in a residence on campus. You arrive on the scene. What do you do?
Step 1) EMCAP-PE
Environment - You and your team enter her room carefully, using the door as cover. You see her room has text books and bottles of alcohol all over the room. You also see a bottle of aspirin on the floor.
Mechanism of injury - You see nothing apparent. You suspect an actual panic attack. You take note of the excessive alcohol and the bottle of aspirin.
Casualties - One. You see a young girl that is having excessive controlled breathing.
Additional Assistance - On standby (ambulance). Campus Police on scene. RA is on scene. Room mate is on scene.
Personal Protective Equipment - Gloves necessary for contact with patient. Keep your equipment between you and the patient. Have your eyes on the patient, be mindful of your exits.
Step 2) AVPU
Alert - Introduce yourself to the patient, check her LOA (level of awareness).
Patient responds verbally and is alert to herself and surroundings.
Step 3) Check ABCs
Airway - She talks to you fine.
Breathing - She has concentrated breathing, however she is still breathing :)
Circulation - She is still alive!
Step 4) Check vitals - You find that she has...
Pulse - 110, Full, Regular
Respiration - 28, Full, Regular
Skin - Pink, Warm, Dry
Blood Pressure - 140/88
Pupils - 3mm, Responsive, Both Eyes
%O2 - 96%
Blood Sugar - 7.8
All of the vitals are normal except for Pulse, Respiration, and Blood Pressure.
Step 5) Treat the patients vitals.
You calm and reassure the patient
You give her Oxygen via the Non-Rebreather at 15 L/min
Get the patient to simulate your breathing patterns.
Other vitals such as pulse and blood pressure requires the administration drugs which is outside of your scope of practice.
Part 2 Will be Posted Later. Still experimenting with the format for future case studies. Probably will post scenario statement as stand alone and let you readers think about it :P
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