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Can an expert in first aid tell me what to do in such conditions?
1) Woman, 21 years old, puls - 88 beatings per minute, breathing - 14 times per minute, level of consciousness - clear
Has a strong pain in right down part of abdomen, vomiting, and her muscles are in tention
2) Woman, 21, puls - 130 (weak), breath - 20, slow reaction on all
Has a strong pain in right down part of abdomen, pale, muscles are in tention
3) Woman, 21, puls 100, breath 24, anxious
No outers injures - means we cant see some wounds or something when look on body
4) Man, 21, puls - 120 (surface), breath - 24, level of consciousness - clear
Opened fracture of hip bone, bleeding
5) Man, 21, puls 112, breath 24, level of consc. - clear
Chest is pressed. Mm, how to say... cant translate this from estonian language. Is not pressed by something, but as if pressed... how can it be, dont know
6) Man, 67, puls 140, breathing - single deep breaths, unconscious
No outer injures, face is red. People bring him from fire
here down an example on what i guess but i wanna a certain please
can any one tell me?
i think .....
2) has to have inside injure - coz of too big puls - sure she is losing blood, but somewhere inside, but what is the reason, i dont know
3) can wait, because such burns are not dangerous even she is pregnant, only to calm her down and all
5) mmm, to tie wound and to fix his leg and him too
7) maybe he has something with heart - old man.. or just breath too much smoke... to ventilate his lungs, maybe will help
about others have no idea...
3 Answers
- Anonymous1 decade agoFavorite Answer
1-This could be any number of things. The first thing that should be ruled out is appendacitis. There is not enough information to get a better idea of what is going on with this person. A poison ingested oraly is also a possibility. The vitals provided are normal for a 21 year old female. Needs immediate transport to an emergency department by an ALS level ambulance.
2- Same as number 1, except that this person needs treatment for shock (keep warm, elevate legs above the heart if there is no trauma, oxygen if available)
3- Could be a simple panic attack or a massive heart attack. While a heart attack is very likely in a 21 year old female, no medical history was provided. If she has been doing cocaine and drinking redbull for the past 3 days, my money would be on cardiac related. Provide oxygen if available and talk with the patient. If its a panic attack talking may help calm her down. Consider transport to an ED if symptoms don't get better or they get worse.
4- Stop any signifigant bleeding as soon as possible. Stabilize and cover the hip fracture by your prefered method. Treat for shock, but do not move the patient. Any injury that fractures the pelvis of a 21 year old male also has a high potential to damage the head and spine. Keep checking the patient's mental status. If the patient becomes unresponsive then it is important to closely monitor breathing and pulse. This patient needs an immediate ride to the ED in an ambulance.
5-Classic symptoms of a heart attack, but the age doesn't fit. I would suspect drugs of some sort. The patient is 21 (possibly a student), so I would suspect amphetamines, caffiene, cocaine, or a combination of these and possibly other drugs such as marijuana (which wouldn't cause this), pshycadelic mushrooms, or LSD. If I could not rule out a heart attack I would treat it as such until proven otherwise. As far as basic first aid, asprin can be given if not contraindicated in the patients medical history. Also oxygen should be given as soon as possible. The patient should be kept at a comfortable temprature and be able to relax until an ambulance arrives. Also the possibility that this an an allergic reaction to something. This patient needs an ALS ambulance transport to an ED.
6- I you are saying that he is taking 1 deep breath a minute, rescue breathing needs to be started immediatly, and the pulse needs to be monitored often. You need to prepare to begin CPR and defibrilation if the patients goes into cardiac arrest. It is possible that the respritory problems are due to either a burned airway or smoke inhailation. The red face points to carbon monoxide poisoning, which is very possible in a fire. The patient should be seen by a paramedic or doctor as soon as possible. This patient needs to be intubated as soon as possible because of the posibility of airway swelling. This patient needs to go to a hospital very fast.
For all (except maybe 3) there is little in the way of basic first aid. All these people need advanced medical care.
ALL PATIENTS except for maybe number 3 need to be seen in an emergency department sooner rather than later. Patients 1, 2, and 5 have symptoms common to many different conditions, and there is simply not enough information provided to figure out what is wrong and what the best course of treatment is. For all patients need to be treated for shock to some degree. Shock treatment is more important for #4 and #6, but all the others still should recieve oxygen and be kept warm.
I suspect drugs in all these patients because information sugesting otherwise is not provided, but specificly in patients 3 and 5. Both of these patients are 21 (college age), and their symptoms fit with drug use. It is not uncommon (in the U.S. at least) for college students to experiment with various drugs, but also use drugs to help them get through school work and get ready for exams/term papers. The drugs of choice for this are amphetamines (Ritilin crushed up and snorted) and caffiene (in energy drinks like RedBull). Cocaine and Marijuana are also popular college drugs. Marijuana is a fairly harmless drugs which probably wouldn't be related to these symptoms. Cocaine alone or mixed with amphetamines and/or caffiene can cause any and all of symptoms for patients #3 and #5.
Source(s): years of medical training - 1 decade ago
1. R/O Appendicitis. Check vomitus for blood. Monitor V/S. Transport to hospital.
2. Request ALS. Treat for shock. Rapid transport to hospital.
3. Possible panic attack? Further questioning. Pschological first aide.
4. Request ALS. stabilize pelvis with padding and cover open fracture with a trauma dressing. Rapid transport.
5. Pressed from Trauma or a tight feeling? Possible allergic reaction. Does patient have allergy meds? without medication = rapid transport. Maintain airway.
6. Requset ALS. High Flow O2 with a non-rebreather mask. Control and maintain airway. Rarid transport to Burn Center.
Basically, besides no#3 all these scenarios require an Ambulance or medical equipment to be able to treat these people. In an emergency situation getting the patient to the hospital would be the first thing to do. Of course with trauma patients not causing further damage by moving the neck and back or injury would be advisable.
- 5 years ago
sounds pretty good. perhaps a weapon could be useful. a knife (bigger than pocket) or gun. a good all weather fire starter is steel wool and a nine volt batter (touch the + and - of the nine volt to the steel wool and you have flame) just don't store them together. When you are thinking food, think high fat. Fat will give you the most calorie for size ratio. nuts are good. You might want to consider a weather proof pancho too. It can be used as shelter pretty well, can be used as a sack, and can even be made into a canoe with the right sticks. Some kind of high strength string would be useful, so you wouldn't have to use shoelaces. Using a mesh sack to carry supplies could double as a fish net or hammock. I was in the army for ten years and used this a little bit.