SAQ 722 – Environmental – drowning with hypothermia and RSI modifications

You are the duty consultant in a rural ED. A 30-year-old man is brought by ambulance after a speed-boat accident in a nearby river.

He required brief bystander CPR at the scene. On arrival: HR 38/min, BP 90/60 mmHg, SpO2 90% on 6 L face mask, RR 26/min, GCS 12 (E3 V3 M6) and temperature 30.1 degrees C.

List four (4) predictors of poor outcome in drowning.

(Marked out of 4.0)

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List, in order, the first four (4) steps you will take to rewarm this patient.

(Marked out of 4.0)

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His vital signs deteriorate, SpO2 is 88% on 6 L oxygen via non-rebreather and he is combative. You decide to intubate. List and justify four (4) modifications to your standard RSI technique.

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Modification to RSI</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Justification</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">3</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">4</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

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Total Score: 0 / 12

Percentage: 0%