Emergency Room: Disaster Strikes FAQ
Version .46A
Copyright of Paul Pike [KawaiiNeko333@aol.com]
Emergency Room: Disaster Strikes is copyright of Legacy Interactice
(www.legacyinteractive.com)
Ok everyone listen up! I want everyone to know that this is my work and I don't
want anybody ripping this FAQ off for themselves. (where have we heard this
before?)
What is Emergency Room: Disaster Strikes?
=========================================
This game is quite the sequel to ER 2 with a whole lot more variety of cases
and for once, has a story. Los Angeles just got hit by a 7.9 earthquake, winter
storms and a mudslide, and doctors are in such short supply. Care to help out?
The Med-o-matic
===============
It's still your best friend with the same functions. Here they are:
S.O.A.P. (Subjective, Objective, Assessment, Plan)
Notes (Used to review which tests and treatments you've done)
Comm (Used to talk to either Dr. Snyder [taking the place of Dr. D Boss] or
Nurse Irene Adams)
Glossary (Used to look up those medical terms and definitions of body parts)
S.O.A.P.: Answering the questions of the S.O.A.P. allows you to get more points
and make good with Dr. Snyder [if you ask me, he's a lot nicer than D Boss].
The S.O.A.P. quesations here are done in respective order from top to bottom
(ex. S: 2nd and 1st choices. That means on the Subjective Part, click on the
2nd circle, go down, then click the 1st circle.)
Notes: You can look at the notes to see what the results were of the test you
did.
Comm.: Besides talking to Dr. Snyder, you can use this to ask for help from
Irene (IMHO, I don't think she's a real blond)
Glossary: Do I need to say anything more?
Tools of the trade
==================
Examination Room
----------------
EKG: Used on the heart to record the electric impulses in the heart
Sphygmomanometer [say that 3X fast ;)]: Used on the upper arm to measure blood
pressure
Thermometer: Used in the mouth to measure the body temperature
Respirometer: Used to measure the patient's respiration rate
Magnifying Glass: Used to examine a part of the body
Glove: Used to get palpation info on a body part
Pulsometer: Used on a finger to measure the pulse rate
Stethoscope: Used on the heart to hear heart sounds, on the lungs to hear
respiration sounds, and on the abdomen to hear bowel sounds
Penlight: Used on the eye to check pupil response
Nasoscope: Used on the nose to examine the nasal mucosa
Othalmoscope: Used on the eye to inspect the inside of the eye
Tongue depressor: Used in the mouth to examine the mouth and throat
Othoscope: Used on the ear to view inside the ear
Eye dye: Used on the eye to detect abnormalities in the cornea
Imaging room
------------
X-ray: Used to take a photograph of the inside of the body
Ultrasound: Used for diagnostic or therapeutic purposes
CAT Scan: Used to get tomography info
Laboratory
----------
Blood test: Used to measure hemoglobin/hematocrit (H/H), type and cross,
complete blood count (CBC), amylase, glucose, liver enzyme, kidney panel,
cardiac enzyme, monospot, gall bladder panel, poison screen, blood alcohol,
theophylline level and toxic screen
Urine test: Used to measure dipstick, microbiology/chemistry/cytology
Swab culture: Used to measure throat/quick
Blood gas test: Used to measure O2/CO2 and carboxyhemoglobin
Stool test: Used to measure bacteria, ova/parasites and hemoccult
Treatment
---------
Nasal Prongs: Inserted into the nostrils to administer oxygen as treatment
protocol
Ear, Eye and Nose Drops: Medication administered into the ear, eye or nose
Sponge: Used to cleanse a wound skin area
Ambu Bag: Squeezable air reservoir used over the mouth to provide ventilation
Cervical Collar: Used to immobilize the neck
Silver Nitrate/Hot Cautery Tip: Used to stop a wound from bleeding or to
release a subungal hematoma
Wrap: Used to apply compression on an extremity
ET (Endo-tracheal) Tube: Placed in the trachea through the mouth for
ventilation
Tongue Guard: Used in the mouth for seizure protection
Irrigation Syringe: Used to irrigate a wound
Medication Syringe: Used to inject medication in the upper arm or locally at
the wound site
Forceps: Used to explore and debride wounds, and to remove foreign bodies
Oxygen Mask: Placed over the mouth and nose to improve oxygen
PO Meds (Per Oral Medications): Medications taken by mouth
Compress: Used to apply a warm or cool compress to an area
Topical Medication: Medications placed topically on the skin
Aerosolized Medications: Medications inhaled through the mouth into the airways
IV Medications: Medication infused through the IV system (usually in the
forearm)
NG (Nasal-gastric) Tube: Inserted into the nose to pump the stomach of its
contents or to decompress air in the GI tract
Gauze: Used to pack wounds
Splint Material: Used to immobilize an extremity
Nasal Splint: Used to immobilize the nose
Bandage: Used to dress a wound
Gel: Anesthetic applied to certain wounds
IV: Inserted into a vein (usually the forearm) to established an IV route,
increase fluid volume, or infuse blood
Needle: Used to suture wounds. The curved shape facilitates accurate stitching
Here come the patients
======================
Appartment Fire Scenario
------------------------
Patient 200
Case: Knocked down by falling rubble, hurt thigh
S.O.A.P. Questions
S: 3rd and 3rd choices
O: 4th and 1st choices
A: 2nd choice
P: 4th and 1st choices
Examination room
-Magnifying glass and glove on left thigh
-Glove on left hip, left knee and pelvis
Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on left thigh
-Med syringe on upper arm (5th)
-Discharge
Patient 201
Case: Burned leg
S.O.A.P. Questions
S: 2nd and 4th choices
O: 3rd and 1st choices
A: 2nd choice
P: 1st and 1st choices
Examination room
-Magnifying glass and glove on right leg
Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on right leg
-Discharge
Patient 202
Case: Knocked down by wall, hurt thigh
S.O.A.P. Questions
S: 3rd and 3rd choices
O: 2nd and 2nd choices
A: 3rd choice
P: 2nd and 3rd choices
Examination room
-Magnifying glass and glove on right thigh
Imaging
-X-ray right thigh
Laboratory
-Blood test CBC and type/cross on elbow
-Urine test microbiology/chemistry/cytology on pelvis
Treatment
-Compress on right thigh (1st)
-IV (2nd) and IV med (3rd) on forearm
-Call in orthopedic surgeon to continue care and admit
-Hospital orders
-Elevate
-Immobilize
-Advise patient to take nothing by mouth (NPO)
-Continue neuro-vascular checks
Patient 203
Case: Fell down stairs, hurt arm
S.O.A.P. Questions
S: 1st and 4th choices
O: 2nd and 1st choices
A: 4th choice
P: 1st and 1st choices
Examination room
-Magnifying glass and glove on right forearm
-Glove on right elbow and right wrist
Treatment
-Spomge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on right
forearm
-Med syringe on upper arm (5th)
-Discharge
Patient 204
Case: Trapped by falling rubble, hurt thigh
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 1st and 3rd choices
A: 4th choice
P: 2nd and 3rd choices
Examination room
-Magnifying glass and glove on right thigh
-Glove on right knee
-Sphygmomanometer on upper arm
-Stethoscope and EKG on heart
Imaging room
-X-ray right thigh
Laboratory
-Blood test CBC and type/cross on elbow
-Urine test microbiology/chemistry/cytology on pelvis
Treatment
-IV on forearm (1st)
-Nasal prongs in nose (2nd)
-EKG on chest (3rd)
-Compress on right thigh (4th)
-Call in orthopedic surgeon to continue care and admit
-Hospital orders
-Elevate
-Immobilize
-Advise patient to take nothing by mouth (NPO)
-Continue neuro-vascular checks
Patient 205
Case: Falling rubble cut thigh
S.O.A.P. Questions
S: 3rd and 2nd choices
O: 2nd and 3rd choices
A: 1st choice
P: 2nd and 3rd choices
Examination room
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Magnifying glass and glove on right thigh
Imaging room
-X-ray right thigh
Laboratory
-Blood test CBC and type/cross on elbow
-Urine test microbiology/chemistry/cytology on pelvis
Treatment
-IV (1st) and IV med (2nd) on forearm
-Med syringe on upper arm (3rd)
-Call in vascular surgeon to continue care and admit
-Hospital orders
-Apply pressure at pressure point
Patient 206
Case: Fell, hurt shoulder
S.O.A.P. Questions
S: 1st and 4th choices
O: 4th and 2nd choices
A: 4th choice
P: 4th and 1st choices
Examination room
-Magnifying glass and glove on right shoulder
Imaging
-X-ray right shoulder
Treatment
-Compress (1st) and splint (2nd) on right shoulder
-Discharge
-Hospital orders
-Immobilize
Patient 207
Case: Fell in earthquake, hurt knee
S.O.A.P. Questions
S: 3rd and 4th choices
O: 2nd and 4th choices
A: 1st choice
P: 1st and 1st choices
Examination room
-Magnifying glass and glove on left knee
Imaging room
-X-ray left knee
Treatment
-Compress (1st) and splint (2nd) on left knee
-Discharge
-Hospital orders
-Immobilize
-Elevate area
-Reduction by traction, reposition, recheck
-Crutches
Patient 208
Case: Burned leg in fire
S.O.A.P. Questions
S: 4th and 4th choices
O: 4th and 4th choices
A: 1st choice
P: 3rd and 1st choices
Examination room
-Magnifying glass and glove on right leg
Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on right leg
-Med syringe on upper arm (5th)
-Discharge
Patient 209
Case: Stepped on something
S.O.A.P. Questions
S: 1st and 3rd choices
O: 3rd and 4th choices
A: 3rd choice
P: 2nd and 1st choices
Examination room
-Magnifying glass and glove on left foot
-Thermometer in mouth
Imaging room
-X-ray left foot
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), magnetized instrument (4th),
irrigation syringe (5th), gauze (6th), topical med (7th) and bandage (8th) on
left foot
-Discharge
Patient 210
Case: Rubble fell on foot
S.O.A.P. Questions
S: 1st and 1st choices
O: 3rd and 3rd choices
A: 2nd choice
P: 4th and 1st choices
Examination room
-Magnifying glass and glove on right foot
Imaging room
-X-ray right foot
Treatment
-Compress (1st) and splint (2nd) on right foot
-Discharge
-Hospital orders
-Immobilize
-Elevate
-Crutches
Patient 211
Case: Wheezing
S.O.A.P. Questions
S: 2nd and 1st choices
O: 3rd and 3rd choices
A: 1st choice
P: 4th and 1st choices
Examination room
-Stethoscope on chest heart
-Sphygmomanometer on upper arm
-Respirometer in mouth
-Magnifying glass on chest
-EKG on heart
Imaging room
-X-ray chest
Laboratory
-Blood gas test O2/CO2 on wrist
Treatment
-Aero med in mouth (1st)
-Med syringe on upper arm (2nd)
-Discharge
-Hospital orders
-Ecourage fluids
-Recheck patient
-Constant monitoring
Patient 212
Case: Stepped on sharp object, cut foot
S.O.A.P. Questions
S: 1st and 3rd choices
O: 2nd and 1st choice
A: 2nd choice
P: 3rd and 1st choices
Examination room
-Magnifying glass and glove on left foot
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
needle (5th), topical med (6th) and bandage (7th) on left foot
-Discharge
Patient 213
Case: In appartment fire, respiratory problems
S.O.A.P. Problems
S: 4th and 4th choices
O: 1st and 2nd choices
A: 3rd choices
P: 1st and 3rd choices
Examination room
-Sphygmomanometer on upper arm
-Stethoscope and EKG on heart
-Stethoscope on chest
-Respirometer and tongue depressor in mouth
-Magnifying glass on nose
-Magnifying glass on both eyes
Imaging room
-X-ray chest
Laboratory
-Blood gas test carboxyhemoglobin and O2/CO2 on wrist
Treatment
-ET tube (1st) and ambu bag (2nd) in mouth
-IV on forearm (3rd)
-EKG on chest (4th)
-Aero med in mouth (5th)
-Call in pulmonologist to continue care and admit
Patient 214
Case: Can't breathe
S.O.A.P. Questions
S: 1st and 2nd choices
O: 4th and 4th choices
A: 2nd choice
P: 4th and 3rd choices
Examination room
-Stethoscope on chest and heart
-EKG on heart
-Sphygmomanometer on upper arm
-Respirometer and tongue depressor in mouth
-Magnifying glass on nose and chest
Imaging room
-X-ray chest
Laboratory
-Blood gas test carboxyhemoglobin and O2/CO2 on wrist
-Blood test theophylline level on elbow
Treatment
-ET tube (1st) and ambu bag (2nd) in mouth
-IV on forearm (3rd)
-Aero med in mouth (4th)
-Call in pulmonologist to continue care and admit
Patient 215
Case: Burned thigh
S.O.A.P. Questions
S: 1st and 3rd choices
O: 4th and 3rd choices
A: 3rd choice
P: 3rd and 1st choices
Examination room
-Magnifying glass and glove on right thigh
Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on right
thigh
-Discharge
Patient 216
Case: Dropped bricks on foot
S.O.A.P. Questions
S: 1st and 3rd choices
O: 3rd and 3rd choices
A: 3rd choice
P: 3rd and 3rd choices
Examination room
-Magnifying glass and glove on right foot
Imaging room
-X-ray right foot
Laboratory
-Blood test CBC, H/H and type/cross on elbow
-Urine test microbiology/chemistry/cytology on pelvis
Treatment
-Sponge (1st), bandage (2nd) and compress (3rd) on right foot
-IV (4th) and IV med (5th) on forearm
-Call in orthopedic surgeon to continue care and admit
-Hospital orders
-Immobilize
-Elevate area
-Take nothing by mouth (NPO)
-Continue neurovascularity checks
Patient 217
Case: Dry nose, spontaneous nose bleeding
S.O.A.P. Questions:
S: 4th and 1st choices
O: 3rd and 2nd choices
A: 2nd choice
P: 4th and 1st choices
Examination room
-Magnifying glass, glove and nasoscope on nose
-Glove on both cheeks
-Tongue depressor in mouth
Treatment
-Irrigiation syringe (1st), nasal spray (2nd), compress (3rd) and cautery (4th)
on nose
-Discharge
-Hospital orders
-Pinch nose closed
-Recheck for bleeding after 15 minutes
Patient 218
Case: Trapped in appartment fire
S.O.A.P. Questions:
S: 4th and 4th choices
O: 1st and 2nd choices
A: 3rd choice
P: 3rd and 3rd choices
Examination room
-Stethoscope on chest and heart
-EKG on heart
-Sphygmomanometer on upper arm
-Respirometer and tongue depressor in mouth
-Magnifying glass on nose and both eyes
Imaging room
-X-ray chest
Laboratory
-Blood gas test O2/CO2 and carboxyhemoglobin on wrist
-Blood test glucose on elbow
Treatment
-ET tube (1st) and ambu bag (2nd) on mouth
-IV (3rd) and IV med (4th) on forearm
-EKG on chest (5th)
-Aero med in mouth (6th)
-Call in pulmonologist to continue care and admit
Patient 219
Case: Fell, hurt elbow
S.O.A.P. Questions:
S: 3rd and 2nd choices
O: 3rd and 2nd choices
A: 1st choice
P: 3rd and 3rd choices
Examination room
-Magnifying glass and glove on left elbow
-Glove on left wrist
Imaging room
-X-ray left elbow
Laboratory
-Blood test CBC, H/H and type/cross on elbow
-Urine test microbiology/chemistry/cytology on pelvis
Treatment
-Sponge (1st), bandage (2nd) and compress (3rd) on left elbow
-IV (4th) and IV med (5th) on forearm
-Call in orthopedic surgeons to continue care and admit
-Hospital orders
-Immobilize
-Elevate
-Take nothing by mouth (NPO)
-Continue neurovascularity checks
Patient 220
Case: Beam fell on thigh
S.O.A.P. Questions:
S: 1st and 3rd choices
O: 2nd and 3rd choices
A: 3rd choice
P: 3rd and 1st choices
Examination room
-Magnifying glass and glove on right thigh
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Tongue depressor in mouth
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
needle (5th), topical med (6th) and bandage (7th) on right thigh
-Discharge
-Hospital orders
-Observation
Patient 221
Case: Sinus pain, yellow discharge
S.O.A.P. Questions:
S: 4th and 1st choices
O: 3rd and 2nd choices
A: 4th choice
P: 1st and 1st choices
Examination room
-Thermometer and tongue depressor in mouth
-Magnifying glass and nasoscope in nose
-Glove on right cheek
-Othoscope on one ear (doesn't matter which)
Imaging room
-X-ray skull
Laboratory
-Swab culture throat/quick in mouth
Treatment
-PO meds in mouth (1st)
-Nasal spray in nose (2nd)
-Discharge
Patient 222
Case: Spider bit forearm
S.O.A.P. Questions:
S: 3rd and 1st choices
O: 4th and 3rd choices
A: 1st choice
P: 1st and 3rd choices
Examination room
-Stethoscope on chest
-Magnifying glass and glove on right forearm
-Glove on right upper arm and chin/neck
Laboratory
-Blood test CBC and glucose on elbow
Treatment
-IV (1st) and IV med (2nd) on forearm
-Call in plastic surgeon to continue care and admit
-Hospital orders
-Elevate
Patient 223
Case: Stomach pain, nausea
S.O.A.P. Questions
S: 3rd and 2nd choices
O: 3rd and 3rd choices
A: 1st choice
P: 1st and 3rd choices
Examination room
-Magnifying glass, glove and stethoscope on abdomen
-Thermometer in mouth
Imaging room
-X-ray abdomen
Laboratory
-Blood test CBC and H/H on elbow
-Urine test microbiology/chemistry/cytology on pelvis
Treatment
-Call in family physician to continue care and admit
-Hospital orders
-Take nothing by mouth except medications (NPO
-Observation
Patient 224
Case: Hand crushed by falling rubble
S.O.A.P. Questions
S: 3rd and 1st choices
O: 3rd and 4th choices
A: 4th choices
P: 2nd and 3rd choices
Examination room
-Stethoscope on heart
-Sphygmomanometer on upper arm
-Respirometer in mouth
-Magnifying glass and glove on right hand
Imaging room
-X-ray right hand
Laboratory tests
-Blood test CBC, H/H and type/cross on elbow
-Urine test microbiology/chemistry/cytology on pelvis
Treatment
-Sponge (1st), bandage (2nd) and compress (3rd) on right hand
-IV (4th) and IV med (5th) on forearm
-Call in orthopedic surgeon to continue care and admit
-Hospital orders
-Immobilize
-Elevate
-Continue neurovascularity checks
-Take nothing by mouth (NPO)
Patient 224
Case: Hurt finger clearing rubble
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 3rd and 3rd choices
A: 2nd choice
P: 1st and 1st choices
Examination room
-Magnifying glass and glove on left hand
-Glove on left cheek
Imaging room
-X-ray left hand
Treatment
-Compress (1st) and splint (2nd) on left hand
-Discharge
-Hospital orders
-Elvate
-Immobilized
Patient 226
Case: Scratched eye, vision normal
S.O.A.P. Questions
S: 3rd and 2nd choices
O: 3rd and 3rd choices
A: 4th choices
P: 4th and 1st choices
Examination room
-Penlight, othalmoscope, magnifying glass and eye dye on right eye
Treatment
-Irrigation syringe (1st) and drops (2nd) on right eye
-Discharge
Patient 227
Case: Fell, hurt chest
S.O.A.P. Questions
S: 2nd and 1st choices
O: 2nd and 4th choices
A: 3rd choices
P: 1st and 1st choices
Examination room
-Magnifying glass and glove on chest
-Stethoscope on chest and heart
Imaging room
-X-ray chest
Treatment
-Compress (1st) and splint (2nd) on chest
-Discharge
-Hospital orders
-Rest
Patiant 228
Case: In appartment fire
S.O.A.P. Questions
S: 3rd and 4th choices
O: 3rd and 2nd choices
A: 3rd choice
P: 2nd and 1st choices
Examination room
-Stethoscope on chest and heart
-Sphygmomanometer on upper arm
-Respirometer in mouth
-EKG on heart
-Magnifying glass on nose and both eyes
Laboratory
-Blood gas test O2/CO2 on wrist
Treatment
-O2 mask on mouth (1st)
-EKG on chest (2nd)
-Discharge
-Hospital orders
-Recheck patient
Patient 229
Case: Headache, weak on left side
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 2nd and 1st choices
A: 3rd choice
P: 1st and 3rd choices
Examination room
-Magnifying glass on mouth
-Glove on forehead
-Penlight and othalmoscope on both eyes
Imaging room
-CAT Scan skull
Laboratory
-Blood test CBC, H/H, type/cross and glucose on elbow
-Urine test microbiology/chemistry/cytology on pelvis
Treatment
-IV (1st) and IV med (2nd) on forearm
-Tongue guard in mouth (3rd)
-Call in neurologist to continue care and admit
Patient 230
Case: Chest pain
S.O.A.P. Questions
S: 2nd and 1st choices
O: 1st and 3rd choices
A: 3rd choice
P: 3rd and 3rd choices
Examination room
-Stethoscope on heart
-Sphygmomanometer on upper arm
-EKG on heart
Laboratory
-Blood test CBC, H/H, bleeding times and cardiac enzyme on upper arm
Treatment
-O2 mask in mouth (1st)
-IV on forearm (2nd)
-EKG on chest (3rd)
-IV med on forearm (4th)
-Med syringe on upper arm (5th)
-PO meds in mouth (6th)
-Call in cardiologist to continue care and admit
Patient 231
Case: Chemical burn on face, glass in arm
S.O.A.P. Questions
S: 3rd and 4th choices
O: 2nd and 1st choices
A: 3rd choice
P: 2nd and 1st choices
Examination room
-Magnifying glass and glove on left cheek
-Magnifying glass, penlight, eye dye and othalmoscope on left eye
-Magnifying glass and glove on left forearm
Treatment (2 parts)
Face
-Irrigation syringe on left eye (1st)
-Sponge (2nd) and topical med (3rd) on left cheek
Forearm
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
gauze (5th), topical med (6th) and bandage (7th) on left forearm
-Discharge
-Hospital orders
-Lift glass slivers with tape
Patient 232
Case: Severe vaginal pain
S.O.A.P.
S: 2nd and 2nd choices
O: 1st and 4th choices
A: 3rd choice
P: 1st and 3rd choices
Examination room
-Glove on abdomen and chest
-Magnifying glass on chest
-Stethoscope on heart
-Magnifying glass and glove on pelvis
Imaging room
-Ultrasound on pelvis
Laboratory
-Urine test pregnacy on pelvis
-Blood test CBC, H/H and type/cross on elbow
Treatment
-IV (1st) and IV med (2nd) on forearm
-Call in obstetrician to continue care and admit
-Hospital orders
-Inform of non-viable pregnancy
Patient 233
Case: Gunshot injury to upper arm
S.O.A.P. Questions
S: 3rd and 1st choices
O: 2nd and 1st choices
A: 2nd choice
P: 3rd and 3rd choices
Examination room
-Magnifying glass and glove on left upper arm
Imaging room
-X-ray left shoulder
Laboratory
-Blood test CBC, H/H and type/cross on elbow
-Urine test microbiology/chemistry/cytology on pelvis
Treatment
-Sponge (1st) and bandage (2nd) on left upper arm
-IV (3rd) and IV med (4th) on forearm
-Call in orthopedic surgeon to continue care and admit
-Hospital orders
-Elevate
-Immobilize
-Continue neurovascularity checks
-Take nothing by mouth (NPO
--end of scenario--
Winter Storm Scenario
---------------------
Patient 234
Case: Stepped on something, streaking visible
S.O.A.P. Questions
S: 2nd and 2nd choices
O: 2nd and 3rd choices
A: 1st choice
P: 2nd and 3rd choices
Examination room
-Magnifying glass and glove on left foot
-Thermometer in mouth
-Glove on pelvis
-Magnifying glass on left leg
Laboratory
-Blood test CBC and glucose on forearm
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
gauze (5th), topical med (6th) and bandage (7th) on left foot
-IV med in forearm (8th)
-Call in family doctor to continue care and admit
Patient 235
Case: Hurt finger clearing debris
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 2nd and 3rd choices
A: 4th choice
P: 2nd and 2nd choices
Examination room
-Magnifying glass and glove on left hand
Imaging room
-X-ray left hand
Laboratory
-Blood test CBC, H/H and type/cross on elbow
-Urine test microbiology/chemistry/cytology on pelvis
Treatment
-Compress on left hand
-Call in orthopedist to continue care and treatment
-Hospital orders
-Immobilize
-Elevate
-Continue neurovascularity checks
-Take nothing by mouth (NPO)
Patient 236
Case: Wire piece in finger
S.O.A.P. Questions
S: 2nd and 1st choices
O: 3rd and 2nd choices
A: 2nd choice
P: 1st and 1st choices
Examination room
-Magnifying glass and glove on right hand
Imaging room
-X-ray right hand
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
magnetized instrument (5th), topical med (6th) and bandage (7th) on right hand
-Discharge
Patient 237
Case: Tripped on stairs, hurt arm
S.O.A.P. Questions
S: 2nd and 2nd choices
O: 2nd and 1st choices
A: 3rd choice
P: 3rd and 1st choices
Examination room
-Magnifying glass and glove on right forearm
-Glove on right wrist and right elbow
Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on right
forearm
-Discharge
Patient 238
Case: Hit by flying debris, cut leg
S.O.A.P. Questions
S: 2nd and 2nd choices
O: 2nd and 2nd choices
A: 4th choice
P: 2nd and 1st choices
Examination room
-Magnifying glass and glove on left leg
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
cautery (5th), needle (6th), topical med (7th) and bandage (8th) on left leg
-Discharge
Patient 239
Case: Hit on side
S.O.A.P. Questions
S: 2nd and 2nd choices
O: 1st and 4th choices
A: 2nd choice
P: 3rd and 3rd choices
Examination room
-Stethoscope on heart
-Sphygmomanometer on upper arm
-Magnifying glass and glove on left flank
-Glove on abdomen and chest
Imaging room
-X-ray abdomen
Laboratory
-Urine test dipstick on pelvis
-Blood test CBC and type/cross on elbow
Treatment
-IV on forearm
-Call in urologist to continue care and admit
-Hospital orders
-Advise patient to take no food or drink by mouth (NPO)
Patient 240
Case: Water heater exploded, cut thigh
S.O.A.P. Questions
S: 2nd and 3rd choices
O: 1st and 3rd choices
A: 4th choice
P: 2nd and 3rd choices
Examination room
-Magnifying glass and glove on left thigh
-Stethoscope on heart
-Sphygmomanometer on upper arm
-Glove on left knee and left foot
Imaging room
-X-ray left thigh
Laboratory
-Blood test CBC, H/H and type/cross on elbow
-Urine microbiology/chemistry/cytology on pelvis
Treatment
-IV on forearm (1st)
-Nasal prongs in nose (2nd)
-EKG on chest (3rd)
-IV med on forearm (4th)
-Call in vascular surgeon to continue care and admit
-Hospital orders
-Apply pressure at pressure point
-Immobilize
-Continue neurovascularity checks
Patient 241
Case: Struck on thigh by blown debris
S.O.A.P. Questions
S: 3rd and 3rd choices
O: 1st and 1st choices
A: 4th choice
P: 3rd and 1st choices
Examination room
-Magnifying glass and glove on right thigh
Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
needle (5th), topical med (6th) and bandage (7th) on right thigh
-Discharge
Patient 242
Case: Something in eye, hurts to look at light
S.O.A.P. Questions
S: 2nd and 1st choices
O: 1st and 2nd choices
A: 3rd choice
P: 3rd and 1st choices
Examination room
-Magnifying glass, penlight, othalmoscope and eye dye on left eye
Treatment
-Drops (1st), magnetized instrument (2nd) and irrigation syringe (3rd) on left
eye
-Discharge
Patient 243
Case: Dropped rubble on foot
S.O.A.P. Questions
S: 4th and 2nd choices
O: 4th and 1st choices
A: 1st choice
P: 2nd and 3rd choices
Examination room
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Magnifying glass and glove on right foot
Imaging room
-X-ray foot
Laboratory
-Blood test CBC, H/H and type/cross on elbow
-Urine microbiology/chemistry/cytology on pelvis
Treatment
-Sponge (1st), bandage (2nd) and compress (3rd) on right foot
-IV (4th) and IV med (5th) on forearm)
-Call in orthopedic surgeon to continue care and admit
-Hospital orders
-Immobilize
-Elevate
-Continue neurovascularity checks
-Take nothing by mouth (NPO)
Patient 244
Case: Jammed thumb lifting rubble
S.O.A.P. Questions
S: 4th and 2nd choices
O: 1st and 1st choices
A: 4th choice
P: 4th and 1st choices
Examination room
-Magnifying glass and glove on right hand
Imaging room
-X-ray right hand
Treatment
-Compress (1st) and splint (2nd) on right hand
-Discharge
-Hospital orders
-Immobilize
-Elevate
-Reduction by traction, reposition, recheck
