SAQ 440 – Environmental – collapsed marathon runner with heat stroke and rhabdomyolysis

Marked out of 13.00

A 22-year-old marathon runner is brought to the emergency department after collapsing and receiving only basic first aid. Blood results are shown below.

Observation	Result
GCS	11 (E3 V4 M4)
Temperature	41.5 C
Heart rate	140/min
Blood pressure	85/40 mmHg
Oxygen saturation	98% on room air

Test	Result	Reference range
Haemoglobin	180 g/L	115-165
White cell count	23 x 10^9/L	3.5-11
Platelets	45 x 10^9/L	150-450
Sodium	145 mmol/L	135-145
Potassium	5.6 mmol/L	3.5-5.0
Urea	20 mmol/L	2-7
Creatinine	400 micromol/L	60-110
CK	26,000 IU/L	60-220

List six (6) differential diagnoses.

(Marked out of 3.0)

/ 3

Outline four (4) initial treatment aims.

(Marked out of 4.0)

/ 4

List three (3) abnormalities in the blood results and explain the significance of each.

(Marked out of 3.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Abnormality</th> <th>Significance</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> </tbody> </table> <p>

/ 3

Describe your next three (3) management steps.

(Marked out of 3.0)

/ 3

Total Score: 0 / 13

Percentage: 0%