Case Study 36

The Scenario: Cardiac Arrest on the Trail

The Setting

While walking a trail to a local rock climbing area you notice a person in the group just ahead collapse. Quickly, someone is kneeling at the patient’s side, fingers on the carotid pulse while they yell at him. Even from a distance you can see the patient is grey in color with blue lips. The rescuer aggressively removes the patient’s pack and begins chest compressions. You estimate less than 30 seconds passed before CPR was started.

SOAP Report

Subjective

The patient is a 60-year old male who collapsed while walking--he fell from a standing position and is in cardiac arrest.

Objective

Patient Exam: No obvious injuries. Detailed head-to-toe not possible at this time.

Vital Signs

TIME

1100

LOR

unresponsive

HR

absent

RR

absent

SCTM

gray skin and blue lips

B.P.

unobtainable

Pupils

not assessed

not taken

 

History

Symptoms:

unavailable

Allergies:

unavailable

Medications:

unavailable

Pertinent Hx:

unavailable

Last in/out:

unavailable

Events:

unavailable

Stop ...

What is your Assessment and Plan?

DO NOT click/peek at the next page without answering this first.


Call