Výsledková listina a přehled úkolů Rallye Rejvíz 2010

Red D RLP Rozhodčí:
D RZP Rozhodčí:
Red D INT Judges:
Time limit for task:
max. 12 min.
Olga Marková, Hana Ralenovská RALLYE REJVÍZ 2010
Monika Spálenská, Kateřina Nováková
Richard Baťa, David Rektořík
Story get to team at task start.
•
•
•
A
B
C
D
Story for team:
Dispatch Center Report:
Man called ambulance because on his way to work he found a parked car on the roadside. In the car he found two men, one vomiting.
Your task is:
assess scene and assure security
determine diagnosis
consider safety and report measures
Local situation:
Nearest hospital is 20 km by ground transport with surgery, internal medicine (neurologists on duty nonstop),gynecology and obstetric and biochemistry.
Higher level hospital 42 km by ground transport, dept. as A + ED, anaesthesia and General Intensive Care, ENT, CT, neurologic dept. with ICU, psychiatry, infectious diseases and pediatric dept.
Specialized centre 55 km by ground. Depts. as B + traumacentre, burn unit, cardiocentre, stroke unit, NMR.
Helicopter rescue available at 15 mins.
Situation on task:
Vehicle at small stopping place, in front of the vehicle one man waving at the Ambulance car. He immediately announces that on his way to work (train conductor) he noticed the parked car and two
men inside. One is shaking from cold and vomiting, the other is also feeling very bad and has big pain. The train conductor tried to help them somehow, gave water to one and handkerchiefs to the
other. He called the Ambulance but has to hurry now and is leaving. One man from injured announces that they are returning with his colleague from Kenya and that his colleague was sick and
vomiting already in the airplane. Now they are both sick.
Max.
Team scoring 1 2 3 4 5 Points
Correct performance
800
Immediate report
to Dispatch Center
(1-calling of police
and fire brigade, 2-
information for
assess scene and
determine Decision about Public Health
determine the
1 Arrival diagnosis safety precautions Authority, 3-
250
danger
degree BSL, 4-
patient protective
bag necessary, 5-
direction of pts)
(5x20)
50 50 50 100
At arrival quickly recognize the danger, determine
diagnosis (probability of hemorrhagical temperature),
immediate decision about use of safety equipment
and immediate report to Dispatch Center.
Facesheets
glasses or
Own
two pairs of gloves
2 Safety equipment FFP 2-3
protective shield
200
50 50 50 50
Inform everyone
Stop people going
about high level of Medications around and not
3 Regimen and teatment 150
danger
letting them go
50 50 50
Crew will collect
and secure all
4 Final steps
contaminated
material and will
desinfect hands
100
100
5
Player
No.1 No. 2
100
50 50
Use of own safety equipment (face sheets), two pairs
of gloves /required/, glasses or protective shield).
It is required to inform all persons on site of accident
about the danger and secure the spreading of
infection by stopping everyone and not letting them
go, including the train conductor!
Parenteral infusions and repeat vital signs
measurement.
Crew is probably also infected, collecting of all
contaminated material in one marked bag, desinfect
hands and get ready for transport to specialised
centre for isolation.
Subjective rating of player.
0 - 100 points.
Additional questions (not scored) - crew will fill questionnaire:
1.Were you sufficiently informed on regular schooling by safety officer or FB about the possibility of meeting patient with biological disease?
2. Do you have safety equipment availaible at all times?
3. Where in your country are specialised centres for CBRNE patients admission?
Klinické parametry:
GCS TK TF SpO2 TT Glykémie
1. pacient 3-3-4 100/60 140/min. 90% 39 st.C
2. pacient 4-5-6 120/70 120/min. 95% 38,5 st.C
4,1
mmol/l
5,2
mmol/l