ALS/ACLS - Team Response Scenario - Ross Jenkins [2022]
COMPLETE SOLUTION
On rapid assessment, Mr. Jenkins is responsive and his airway is patent.
His body language indicates that he is experiencing retrosternal pain or
discomfort. He is not visibly dyspneic, cyanotic or diaphoretic and
appears to be in minimal distress. What actions should the team take as
part of the primary assessment? Correct Answer: Establish pulse
oximetry
Establish cardiac monitoring
Assess capillary refill time
Obtain a full set of vital signs
Primary assessment findings are as follows:
Airway: Patent and self-maintained
Breathing: Respiratory rate, 18 breaths/min; no dyspnea; pulse oximetry,
98% on room air
Circulation: Heart rate, 75 bpm; sinus rhythm with an occasional PVC;
blood pressure 130/90 mmHg; normal pulses; capillary refill, 2 seconds;
skin warm and acyanotic
Based on Mr. Jenkins' clinical presentation and these assessment
findings, what diagnostic test should be performed right away? Correct
Answer: 12-lead EKG
Dr. Bheda ordered the ECG to assist in accurately diagnosing the cause
of Mr. Jenkins' chest pain. Which potentially life-threatening causes of
chest pain other than ACS should be considered as part of the
differential diagnosis? Correct Answer: Aortic dissection
Pulmonary embolism
COMPLETE SOLUTION
On rapid assessment, Mr. Jenkins is responsive and his airway is patent.
His body language indicates that he is experiencing retrosternal pain or
discomfort. He is not visibly dyspneic, cyanotic or diaphoretic and
appears to be in minimal distress. What actions should the team take as
part of the primary assessment? Correct Answer: Establish pulse
oximetry
Establish cardiac monitoring
Assess capillary refill time
Obtain a full set of vital signs
Primary assessment findings are as follows:
Airway: Patent and self-maintained
Breathing: Respiratory rate, 18 breaths/min; no dyspnea; pulse oximetry,
98% on room air
Circulation: Heart rate, 75 bpm; sinus rhythm with an occasional PVC;
blood pressure 130/90 mmHg; normal pulses; capillary refill, 2 seconds;
skin warm and acyanotic
Based on Mr. Jenkins' clinical presentation and these assessment
findings, what diagnostic test should be performed right away? Correct
Answer: 12-lead EKG
Dr. Bheda ordered the ECG to assist in accurately diagnosing the cause
of Mr. Jenkins' chest pain. Which potentially life-threatening causes of
chest pain other than ACS should be considered as part of the
differential diagnosis? Correct Answer: Aortic dissection
Pulmonary embolism
