Virtual Simulation
Burns
Trett Hall, 26 years old
26 years 198 LBS
Present Problem:
Report from paramedic to ER Nurses:
“This is Trett Hall. He is 26-years old with no medical history except a fractured leg as a teenager. He is not on
any meds. He does construction and does not have insurance. When we got on scene his house was fully
involved with fire and he was outside laying in the grass. He told the cops that he was experimenting with
explosives. We quickly loaded him and brought him. The only thing I did was start an IV and get VS. I have not
calculated his fluid needs yet. He is obviously tachy and having a lot of pain. He told me it was a 8 out of 10,
so I gave him 4mg IVP of Morphine, and it helped a little. I put him on a non-rebreather mask as well. From
the quick assessment we did, it appears he has second and third degree burns on his arms and chest. I’m also
concerned about airway and lungs down the road as he has soot in his nose and mouth so he probably inhaled
a lot of smoke.”
What data from the histories are RELEVANT and must be interpreted as clinically significant by the
nurse?
, No insurance
Tachycardia Is patient able to pay his medical bills or would he need a
8/10 pain referral to social services to help with cost -
Second- and third-degree burns on arms and chest Monitor patient for hypovolemic shock due to increased heart
Soot in his nose and mouth rate -
Morphine was given for pain
-Monitor vital signs, and signs of infection, and possible
treatment options
- Monitor patients breathing, respiratory rate, and oxygen
saturation, and possible injuries caused by soot inhalation
Patient Care Begins:
RELEVANT
Current VS: Data: Clinical
P-Q-R-S-T Significance:
Pain Assessment:
PTul:se991.382 (R
oeraspl)24 BP We w Prilol vnoekedintgo/P
doalcliaartdiivaec:m oCnoitnosrtban
ect ause pt is in the resustaion phase of burns. We need to
10P0:/51032Pa(irneg8u/1la0rT
) emp foucQ usuoanlitfylu: id imbalance an dBbulronoidngperfusion. Pain mangement for his 8/10 pain. The temput re
99R.8: 24 (regular) is noRt eag atailosnta: tes b u“taw
t iaonna/bRnaodrim lleow veoru”ld need to contiue to monitor.
BP: 100/50 Severity: 8/10
O2 sat: 94% (100% NRB) Timing: Started after the accident
What VS data are RELEVANT and must be interpreted as clinically significant by the nurse?
Burns
Trett Hall, 26 years old
26 years 198 LBS
Present Problem:
Report from paramedic to ER Nurses:
“This is Trett Hall. He is 26-years old with no medical history except a fractured leg as a teenager. He is not on
any meds. He does construction and does not have insurance. When we got on scene his house was fully
involved with fire and he was outside laying in the grass. He told the cops that he was experimenting with
explosives. We quickly loaded him and brought him. The only thing I did was start an IV and get VS. I have not
calculated his fluid needs yet. He is obviously tachy and having a lot of pain. He told me it was a 8 out of 10,
so I gave him 4mg IVP of Morphine, and it helped a little. I put him on a non-rebreather mask as well. From
the quick assessment we did, it appears he has second and third degree burns on his arms and chest. I’m also
concerned about airway and lungs down the road as he has soot in his nose and mouth so he probably inhaled
a lot of smoke.”
What data from the histories are RELEVANT and must be interpreted as clinically significant by the
nurse?
, No insurance
Tachycardia Is patient able to pay his medical bills or would he need a
8/10 pain referral to social services to help with cost -
Second- and third-degree burns on arms and chest Monitor patient for hypovolemic shock due to increased heart
Soot in his nose and mouth rate -
Morphine was given for pain
-Monitor vital signs, and signs of infection, and possible
treatment options
- Monitor patients breathing, respiratory rate, and oxygen
saturation, and possible injuries caused by soot inhalation
Patient Care Begins:
RELEVANT
Current VS: Data: Clinical
P-Q-R-S-T Significance:
Pain Assessment:
PTul:se991.382 (R
oeraspl)24 BP We w Prilol vnoekedintgo/P
doalcliaartdiivaec:m oCnoitnosrtban
ect ause pt is in the resustaion phase of burns. We need to
10P0:/51032Pa(irneg8u/1la0rT
) emp foucQ usuoanlitfylu: id imbalance an dBbulronoidngperfusion. Pain mangement for his 8/10 pain. The temput re
99R.8: 24 (regular) is noRt eag atailosnta: tes b u“taw
t iaonna/bRnaodrim lleow veoru”ld need to contiue to monitor.
BP: 100/50 Severity: 8/10
O2 sat: 94% (100% NRB) Timing: Started after the accident
What VS data are RELEVANT and must be interpreted as clinically significant by the nurse?
