SCENARIO #3: STROKE


About 45 minutes prior to landing in Aspen, a passenger approaches you, concerned about her husband. She says he is talking funny and looks strange. Your initial investigation finds a middle-aged man experiencing left- sided facial droop. When you ask about his condition he responds with slurred speech saying he is OK and not to worry.


What are your exam and treatment priorities? What further action is required by you? 1: Notify PIC


“We have a passenger who is slurring his speech and his wife states he does not look right. 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.


NOTES:


SCENARIO #4: ALLERGIC REACTION


While waiting on the ramp in Sangster International Airport (MBJ), your passengers are sampling some of the local foods purchased during their visit to Kingston. With the main door closed and while finishing the loading process, a passenger comes to you with a wild look in his eyes. The passenger states he is allergic to seafood and thinks there must have been some in the salad he was eating. You notice he is having trouble breathing and having difficulty swallowing. He is also nearing panic.


What are your exam and treatment priorities? What further action is required by you? 1: Notify PIC


“We have a passenger who has eaten something he is allergic to and appears to be having trouble breathing. 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 or lung problems, stroke, diabetes, epilepsy or other major medical problems.


Ask 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:


Patient Assessment 97


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