Structured Patient Handoff

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  • Structured Patient Handoff
You are a doctor of EMS (Emergency Medical Service), and you´ve arrived at the scene. In the middle of a living room, there is a man in his fifties lying flat on a carpet and his daughter by his side. She tells you that he suddenly became unconscious when watching TV. You access the patient and examine him according to ABCDE. What do you do now?

The patient needs to be treated at the Level 1 A&E department (Accident and Emergency).

Correct answer

Correct! The patient is unconscious, and he needs to be treated at the highest level A&E. This A&E level is for patients whose vital functions are critical - for example, life-threatening injuries, intoxications, shock, and CPR.


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The patient needs to be treated at the Level 3 A&E department (Accident and Emergency).

Wrong answer

Level 3 A&E is for patients suffering from decompensation of chronic illness or an acute state but not life-threatening condition.


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I am going to call the Toxicology Information Center.

Wrong answer

Given the circumstances and our findings at this time, we do not suspect any intoxication.


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I am going to call his General Practitioner.

Wrong answer

This will not help our patient.


Try again Bury the patient

 
RR

20 bpm

HR

75 bpm

SpO2

94 %

BP

160/80 mmHg

ECG

sinus rythm, regular pace

Examination:
Findings according to ABCDE:
A: mouth without injuries
• B: spontaneously ventilating, RR 20/min, SpO2 94%, auscultation without pathology
• C: BP 160/80, HR 75/min, capillary refill up to 3s, warm periphery
• D: GCS 3, pupils isocoric, miotic, centered, photoreaction +, without any injuries
• E: glycaemia 7,8 mmol/l, BT 36,7 °C

Gly

results

ABG

not available

CBC

not available

biochemistry

not available