MedBugs: SAQ #21

Case: Lab fire

You receive a call from the paramedics about a 36yo male who has just been pulled from a lab fire. You are told that he has a GCS 12 and has burns to his face, neck and chest. ETA is 10 minutes.

1. Outline (4) steps you would take after receiving this call. 4 marks

The patient arrives and his initial obs are: BP 110/80, HR 120, RR 30, Sats 92% 6L Hudson mask.

2. List (4) features each from history and exam that would be concerning for inhalational injury. 4 marks

Your team successfully intubates the patient. You assess the burn to be approx. 30% TBSA, partial thickness. There are no circumferential areas. The patient weighs approximately 70kg.

Clinical features (1/2 mark each)	Cyanide	Carbon Monoxide
1.
2.
3.

Lab result (1/2 mark)
Specific treatment (1 mark)

3. Complete the table listing (3) clinical and (1) lab feature which are concerning for severe cyanide and carbon monoxide poisoning and state your specific management. 6 marks

4. State (4) components of fluid management for your patient. Include any formulae where appropriate. 4 marks

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Case: Lab fire

1. Outline (4) steps you would take after receiving this call. 4 marks

2. List (4) features each from history and exam that would be concerning for inhalational injury. 4 marks

3. Complete the table listing (3) clinical and (1) lab feature which are concerning for severe cyanide and carbon monoxide poisoning and state your specific management. 6 marks

4. State (4) components of fluid management for your patient. Include any formulae where appropriate. 4 marks

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