Thursday, 2 January 2020

BPLS SCNRIOS

C1 CR ARRST VF HYPOTHERMIA FRACTURE TIB/FIB RT
9 YR 34kg
ESTAB AIRWAY-INTUBT IV/IO UNINTRRPTD BLS, T TO 32C
BMO2-BTO2 VF PRTCL BAIR HUGGER, WARM SALINE IV
VFpVT-DC2DC2DAAmC2DC2DAAmC2DC2DAC2DC2….4HVOTK..TATETOTH
C2 CR ARRST ASYSTL ANOXIA AS ETT DISPLACED 3 YR 14kg
REMOVE ETT ,BMO2,RE ET IV/IO  UI BLS
BMV02,BTO2 ASYS PRTCL
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C3 DROWNING  CR ARREST   VF   HYPOTHERMIA 2 YR 12KG
ESTAB AIRWAY-INTUBT IV-IO
BMVO2-BTO2 VF PRTCL ACTV REWARM
VFVT-DC2DC2DAAmC2DC2DAAmC2DC2ADC2..4hvotk.4t tatetoth.sbc
C4 BRONCH-APNEIC-AYSTOLE SECY TO VAGAL STIM BY SUCTION
6 WK 5KG
ESTAB AIRWAY-INTUBT IV/IO UI BLS
BMV02-BTO2 ASYS PRTCL
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C5 DROWNING-ASYSTOLE-LARYNGEAL SPASM  10 MO 9 KG
EAP-INTUBT IV/IO UI BLS
BMV02-BTO2 ASYS PRTCL
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
BRADYC PRTCL BRADYC=ABC 02 AD/AT/PACE/CAUSE
C6 EPIGLOTTITIS -ASYS-WHILE RESUS GOES VF 4 YR 16 KG
ATTMPT A/WAY-ET-CT-SX IV/IO UI BLS
BMVO2-TTVO2 ASYS PRTCL
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
VFpVT-DC2DC2DAAmC2DC2DAAmC2DC2DAC2DC2….4HVOTK..TATETOTH
C7 SMALLBURN IN HAND-ELECY SHOCK-CRA-AYS
18 MO 11 KG
EAP-ET IV/IO UI BLS
BMVO2-BTO2 PEAAS PRTCL
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C8 ASTHMA-RESP ARREST-ASYSTL RHYTHM 6 YR 25 KG
EAP-ET BTO2 IV/IO UI BLS
ASYS PRTCL
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C10 CHOKING-CRA-ASYS-T PNTHX-RHYTM PEA 3 YR 14KG
DX-RA TO ASTHMA, THEN CRA-ASYSTOLE
SSS EAP-ET BMVO2-BTO2 IV/IO UI BLS NDL T PNTHX
ASYSPEA PRTCL
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C11 GASTRO-PAST TGA SX-APNC -PULSELESS-RHYTHM-VF  3 YR 14 KG
DX-CRA-VF
EAP-ET BMV02-BTO2 IV/IO UI BLS
VF PRTCL
VFVT-DC2DC2DAAmC2DC2DAAmC2DC2ADC2..4hvotk.4t tatetoth.sbc
C12 STRIDOR FEVER RESP ARREST 3YR 14 KG
DX-RA SECY TO BACTERIAL TRACHEITIS
EAP-ET BTO2 IV/IO UIBLS ASYSTOLE iv abx
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C13 PULSELESS VT 1 YR OLD SVT -FLECAINIDE OD 1YR 10 KG
DX-PULSELESS VT
EAP-ET BMO2-BTO2 PULSELESS VT PROTOCOL
pVT= DC2 DC2 DAAMC2 DC2 DAAMC2 DC2 DAC2 DC2 DAC2 DC2..4HVOTK TATETOTH SBC
C14 TRACHY BLOCK TPNTHX RT  2 YR 12 KG
DX-CRA, ASYSTOLE
EAP BVTT02 IV/IO UIBLS DRAIN TPNTHX
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C15 SIDS ASPHYXIA 4 WK 4.5 KG
DX-CA ASYSTOLE
EAP-ET BV02-BTO2 IV/IO UIBLS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C16 UNCONSC, ABDO DISTN, BRUISES-RHYTHM ASYS THEN PEA
DX-CRA HGIC SHOCK ABDO TRAUMA NAI 5 YR 18 KG
EAP-ET BTO2 IV/IO UIBLS IVI FLUID BOLUS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C17 DROWNING TODDLER T 30C  RHYTHM-VF 18 MO 11 KG
DX-CRA -VF, HYPOTHERMIA, SECY TO DROWNING
EAP-ET BVO2-BTO2 IV/IO UIBLS
RESUS TILL 32C -ACTIVE REWARMING-BAER HUGGER , IV WARM SALINE
VFpVT-DC2DC2DAAmC2DC2DAAmC2DC2DAC2DC2….4HVOTK..TATETOTH
C18 EX TRACHY BLOCK RHYTM-ASYSTOLE 1 YR 10 KG
DX-CRA-ASYSTOLE, SECY TO BLOCKED ETT
EAP-SUCTION TUBE BTO2 IV/IO UIBLS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C19 COLLAPSED, FEVR, PURPURIC-MCD OWS RHYTHM-ASYSTOLE
DX-CRA-OWS 2 YR 12 KG
EAP-ET BMO2/BTO2 IV/IO UIBLS IVI BOLUS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C20 POST FALLOT REPAIR COLLAPSE- RHYTHM-VF
4 MO 4.5 KG GVN
EAP-ET BMO2-BTO2 IV/IO DONE UIBLS
VFVT-DC2DC2DAAmC2DC2DAAmC2DC2ADC2..4hvotk.4t tatetoth.sbc
CONTINUE UPTO 6 DC SHOCKS
C21 BRONCH -APNEA-ANOXIA RHYTHM-ASYSTL
DX-CRA-ANOXIA SECY TO APNEA IN BRONCH 2 WK 4.25 KG
EAP-ET BMO2-BTO2 IV/IO UIBLS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C22 BRONCH-RESP FAILR RHYTHM-ASYSTL
DX-CRA-ASYSTL SECY TO RESP FAILR 2 MO 6 KG
EAP-ET BTO2 IV/IO UIBLS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
ROSC AFTER 2ND ADR
C23 LYMPHOMA-TLS-COLLPSE-APNC-PLESS- RHYTHM-P/LVT
DX-CRA-P/L VT 14 YR 36 KG GVN
EAP-ET BO2/BTO2 IV/IO UILS
VFVT-DC2DC2DAAmC2DC2DAAmC2DC2ADC2..4hvotk.4t tatetoth.sbc
PULSE  AFTER 3RD SHOCK 
C24 LQTS PT-COLLPS-APNC P/L RHYTHM-ASYSTL 16 YR ADULT DOSES
DX-CRA-ASYSTL 2/LQTS
EAP-ET BMO2/BTO2 IV/IO UIBLS
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
C25 COLLAPSED WTH MAT METHDN BTTL-APNC P/L RHYTM-ASYSTL
DX-CRA-SECY TO METHDN POISONING  6 YR 25 KG GVN
EAP=ET BMO2/BT02 IV/IO UIBLS AFTR ROSC AND OXYGN-NLXN
PEAAS=AC2 C2 AC2 C2 AC2….4H VOTK 4T TATETOTH SBC
ILL-1 AC SEV ASTHMA P-50 6 YR 25 KG EST
EAP-ET BMO2/BTO2 CC IV SALB,AMPH,MG,HCORT
IV/IO-FLUID BOLUS
Bc PRTCL-SHCK/HYPOXIA-VAGAL-AT20,NO-AD10-ADI-PACING
ILL-3 PEANUT-ANAPHLXS P120R28SP100 3 YR 14KG
EAP BMO2 IV IM AD,NEB AD IF STRIDOR,IV HCORT
ANAPLXS PRTCL= ABCDE-ADIM,O2 , FLUID, CHLPHNRMN, HCORT -OFCH
ILL-6 EPIGLOTTITIS-MISSED Hib P160R40 2.5 YR 13 KG EST
CALL ANESTH/ENT BMO2-ET-NCT-TCV IV/IO IV ABX
ILL-7 15 MO , FITS-COLLAPSED, EMPTY MED BOTTLE-TCA p 15 MO 10.5KG
P170SP65
RHYTM-VT
EAP HF02M/BMO2 IV/IO IV LORAZ SBC
VD Pvt-DC2DC2DAAmC2DC2DAAmC2DC2DAC2DC2….4HVOTK..TATETOTH
ILL-8 4 MO SEPSIS P189 R65 T39 SP60 BM1.8 CRT 6  4 MO 6KG EST
DX-SEPSIS
EAP HFO2M IV/IO IV ABX, 10DEX 2ML/KG-IVI
FLUID BOLUS
ILL-12 4 YR, PRO FEB FIT P170 R30 T39.7BM8 4 YR 16 KG EST
DX-PRO FEB FIT
EAP-ET HFO2M/BMO2/BTO2 IV/IO
SE PRROTOCOL
RPT BM
ILL-14 7 YR-SLEEPY,LABRD BREATHING,ABDO PAIN 7 YR 28 KG EST
P160 R30 CRT5 BM32
DX-DKA
EAP-OAM-NGT HFO2M IV/IO ASSS DEHY,CALCULT DEFICIT
BLOOD TESTS AS APPROP IVI NS, IVI INS AFTR 1 HR
FLUID BOLUS 10 ML/KG MNTR-CE ED,ECG-T WAVES
ILL-18 5 D, LTHARGIC, GRAYISH P195 R75 CRT7 GLLP RHYTHM
DX-COLLPSE, BY COA 5 DAYS 4 KG EST
AOM HFO2 IV/IO IV ALPROSTADIL/PROSTIN
INTUBT FLUID BOLUS 10 ML/KG CONTACT TERT CARDIO TM
T-3 10 YR, BARN EXPLOSN,ALL, BURNS, A/WAY OBS,C7-8 FRCTR 10 YR 37 KG EST
P130,R40 SP70 DX-FALL,BURN,A/WAY OBS,FRCTR,RPTR SPLEEN,C7-8FRCTR
EAP-PROTECT CS HFO2-VENT ONCE TUBED IV WIDE BORE CALL SURGN
FLUID BOLUS PAIN RELF
X MATCH BLOOD TRAUMA IMG
BLOOD TX
T-4 9 MO BURNS FACE, NECK, HYPOTHERMIA FROM COOLING EXCESS
DX-BURNS FACE/NECK/AWAY OBS,HYPOTHEMIA 9 MO 8.5 KG EST
EAP-PROTECT CS HFO2M IV WIDE BORE KEEP WARM
IV CRYSTALLOIDS -WARMED PAIN RELIEF
T-5 3 YR MVA-RT EDH RT SKULL FRCTR, FRCTR C3-4,FRCTR TIB-FIB 3 YR 14 KG EST
DX-RT EDH, C3-4 FRCTR, TIB-FIB FRCTR
EAP-PROTECT CS HFO2M IV WIDE BORE URGENT CT
BLOOD FOR X MATCH TO NEUROSGNS
T-7 12 YR HIT BY M/CYCLE P120 R35 BP90/60 12 YR 43 KG EST
DX-FRCTR FACE LIMBS HMTHX 
EAP-PCS HFO2M IV WIDE BORE PAIN RELF
CHEST DRAIN BLOOD FOR X MATCH TRAUMA IMAGING
IV NS BOLUS 10 10
T-8 3 YR-BRICK WALL COLLPSE P130 R40 SP70 CRT 6 3 YR 14 KG EST
DX-LIVER LAC HI FRCTR LIMB
EAP=PCS HFO2M IV WIDE BORE PAIN RELF
BLOOD FOR XMATCH CALL SURGEON
IVI NS-10,10 TRAUMA IMAGING
BLOOD TX CT BRAIN
T-9 10 YR, FALL FROM IST FLOOR WINDOW 10 YR 37 KG EST
P120 R40 SP 100/70 DX-HI, FRCTR C4/5,FRCTR LARYNX,LT HMPNTHX
EAP-PCS HFO2M IV WIDE BORE CALL ANESTH
CHEST DRAIN AFTER IV ACCESS BLOOD FOR X MATCH CALL SURGN
IVI NS - 10, 10 PAIN RELF
TRAUMA IMAGING
T-10 11 YR, FALL OFF M/CYCLE AT SPEED 11 YR 40 KG
P120 R30 SP60 DX FRACTR PELVIS-FEMUR WTH DISLOCN
EAP-PCS HFO2M IV WIDE BORE CALL ORTHO SRGN
BLOOD FOR XMACH PAIN RELF
IVI-NS 10,10 TRAUMA IMAGING
BLOOD TX
T-11 11 YR, FALL FROM SWING ONTO MUDDY BRANCHES 11 YR 40 KG EST
P130 CRT 5 T33.5 DXRT LUNG CONTUSN, RT PNTHX, RT FACIAL FRCTR
EAP-PCS HFO2 IV WIDE ORE 3 SIDED DRESSING/ASHERMAN VALVE
FLUID BOLUS 10,10 CHEST DRAIN
REWARM PASSIVELY
TRAUMA IMAGING
T-12 9 YR, DRAGGED UNDER LORRY, DEGLOVING INJRY 9 YR 34 KG EST
P160 R60 CRT6
DX-LIVER LAC,LUNG CONTUSN,DEGLOVING THIGH, FR TIB-FIB
EAP-PCS ET IV WIDE BORE PAIN RELIEF
HFO2 FLUID BOLUS TRAUMA IMAGING
VENT 100% O2 BLOOD TX
T-13 12YR , GSW CHEST P140 R45 CRT7 12 YR 43 KG EST
DX-4 PEN WNDS, LUNG LAC, HMPNTHX,DUO PERF, PERIT
EAP-PCS-ET VENT HFO2M IV WIDE BORE 2 NGT
VENT 100%O2 FLUID BOLUS-10X4,BLOOD-1
INSERT RT ICD Call sgns to stop hg
T-14 8 YR, FALL FROM TREE HS ONTO METAL STAKE ON ABDO IMPALED
P130 R30 BP100/70 CRT5 8 YR 31 KG EST
DX-KID/SPL HG,PERT
EAP-PCS-ET VENT HFO2M-FAIL IV WIDE BORE NGT
ET VENT 100%O2 FLUID BOLUS-10X4,BLOOD-1 CXR
Call Sgns-Hg,Perit
T-15 EXTERNAL HEMORRHAGE-
<C>ABC
DP-T-THDP
T-16 ABDOMINAL TRAUMA
A-EAP PCSET    B-BTO2 C WD BR X2 NS 10 X MATCH BLOOD
S-FAST,CT, CALL SURGEONS

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