PUTTING IT ALL
TOGETHER SCENARIO #1: CHEST PAIN
About 2 hours into a flight from TEB to CDG one of your passengers calls you over to report a problem. The man, an elderly executive, tells you he is feeling some discomfort in his chest. You notice he is struggling a little with each breath, his voice is anxious and his skin appears moist and pale.
What are your exam and treatment priorities? What further action is required by you? 1: Notify PIC
“We have a passenger in the back complaining of chest pain. I will begin a patient evaluation and update you further in a few moments.”
2: Begin patient evaluation. Obtain patient’s age and any pertinent medical history such as heart problems, lung problems, stroke, diabetes, epilepsy or other major medical problems. Ask the patient about current medications.
Ask patient about the chief complaint. Ask about any associated symptoms. Take vital signs: Pulse oximetry Pulse rate Respirations (rate) Blood Pressure Eyes Level of responsiveness Skin evaluation
3: Contact Aircare Access
4: Begin treatment as instructed and relay information to Aircare Access physician. Deliver high flow O2. 5: Plan for advanced patient care.
NOTES: NOTES:
SCENARIO #2: DIABETIC
About 30 minutes into a flight from VNY to ORD you notice one of your passengers acting strangely. She is speaking inappropriately and stumbles toward the lav. As she passes, you ask her if she is feeling OK. She responds with a nonsensical answer. Her traveling companion tells you this has happened before.
What are your exam and treatment priorities? What further action is required by you? 1: Notify PIC
“We have a passenger in the back who is not acting or responding correctly to questions. I will begin an evaluation and update you further in a few moments.”
2: Begin patient evaluation. Obtain patient’s age and any pertinent medical history such as heart problems, lung problems, stroke, diabetes, epilepsy or other major medical problems. Ask the patient about current medications.
Ask patient about the chief complaint. Ask about any associated symptoms. Take vital signs: Pulse oximetry Pulse rate Respirations (rate) Blood Pressure Eyes Level of responsiveness Skin evaluation
3: Contact Aircare Access
4: Begin treatment as instructed and relay information to Aircare Access physician. Deliver high flow O2. 5: Plan for advanced patient care.
96 Patient Assessment
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