Mrazík N RLP Rozhodčí: N RZP Rozhodčí: Frost N INT Judge: Time limit for task: max. 12 min. Zdeněk Tlustý, Eva Litvíková RALLYE REJVÍZ <strong>2010</strong> Táňa Bulíková, Radka Hotovcová Jozef Karaš, Markéta Javorková Story get to team at task start. Story for team: Dispatch centre received emergency call: Partner found girlfriend with child at home after arrival from work, they are sick, both are vomiting, he suppose diet mistake. • • • Your task: evaluate situation, set up safety measures, examine victims treatment and care of patients decide appropriate health care facility A B C D Local situation: The nearest hospital is 20 kms by ground: surgical, internal, gynecological + obstetric dept., laboratory, neurologist available 24 hrs. Regional hospital: 42 kms by ground transport, as A + ED, ENT, CT, neurological dept. with ICU, psychiatric, infectious disease, pediatric dept. University hospital: 55 kms by ground, As B + traumacentre, burn unit, cardiac centre, oncological dept., neurological dept. with ICU, NMR. Helicopter air rescue arrival in 15 min., currently unavailable Weather: fall, around 0 degree C, gust wind Situation: Weather: fall, around zero, gust wind, law cost appartement with mess, mother with child 15 years, social deprived, on the table can before expiry date, bread, bottles with cheap destilate, without glasses. In the room corner gas heater. Mother: did not eat, feels very ill, without medication, drugs,alcohol drank yesterday.Signs: nausea, vomitus visible on the clothes, headache, palpitations, blurred vision, physical and neurological exam normal,BP 130/80, HR 110/min., RR 20/min., SpO2 97 %, Cooxymetry 30 % COHb. Child: apatic, slow reaction to questions, Signs: vomited, headache, hyperventilation with prickling hands and legs, stiffnes of extremities, tremor. BP 110/65, HR 120/min., RR 26/min., SpO2 98 %, Cooxymetry 40 % COHb. Partner: cares about them, nervous, if the crew accept him announce he maked a fire (switched on heater) before he left for work. Performance: patient history, questions to partner, examination of victims incl. vital functions and neurologic exam. Call Firebrigade to measure CO, after toxic conc. found opening the windows AND/OR extrication of pts.Treatment: oxygen with high flow, CPAP if available, or bag mask with reservoir. Direction: ICU B hospital, event. directly to HBO. 1 Key words: CO intoxication, oxygen therapy, correct examination, self security PH 25, pharmacologic H 25, allergic 25, drugs 25 p. lung exam (25), heart exam (25) BP (25), HR (25), SpO2 (25) Max. bodů 4 5 Correct decision and performance 1 200 Glycemia (25), ECG /minim 3 leads (25) Neurological exam 100 50 75 50 50 PH 25, Glycemia (25), pharmacologic H lung exam (25), BP (25), HR (25), Neurological ECG /minim. 3 2 child exam 25, allergic 25, heart exam (25) SpO2 (25) exam 325 leads (25) drugs 25 p. 3 Team scoring 1 2 woman exam Working diagnose 100 50 75 50 50 Oher intox: food, drugs, Intoxication CO: medication, other reasonable woman (50), child nothing alcohol etc. at least one pts (50) woman (25), child (25) 100 50 25 0 3 325 100 Complete PH, exam of lungs, heart by auscultation, basic vital signs, incl. glycaemia, neurological exam Complete PH, exam of lungs, heart by auscultation, basic vital signs, incl. glycaemia, neurological exam Correct dg: CO intoxication. Other: gastritis, hyperventilation, brain stroke, infection 02 by mask w 02 with mask only I.v. line (i.o.), high flow minim 8 reservoir or CPAP or into nose at infusion woman + Nothing 4 Treatment l/min. 150 at one pts at least both (25+25) child (15+15) 100 50 20 30 0 extrication of extrication of communication victims OR open victims OR open Fire Brigade with partner, Nothing 5 On site measures window up to 5 window after 5 calling 125 calming down min min 75 25 25 25 0 Hospital B for HBO indication other 6 direction both (25+25) 75 50 25 0 woman child men 7 Players 100 40 40 20 Oxygen ASAP, correct flow, 2 sets for O2 therapy for full points Technical help by FB, communication with surroundings Correct direction for both, extra points for HBO chamber Subjective players evaluation acording rules.
Startovní <strong>listina</strong> - MUC. RR 1 1. LF Praha - MUC I 2 1. LF Praha - MUC II 3 2. LF Praha 4 LF MU Brno 5 LF UK Plzeň - LSS o.s. 6 LF UP Olomouc - MedOl 7 LF UP Olomouc - MUC I 8 LF UP Olomouc - MUC II 9 SZU Bratislava - MUC I 10 SZU Bratislava - MUC II Simona Alžběta Iveta Tereza Jana Lucie Marek Jan Eva Zuzana Pavla Martina Kristýna Michaela Ilona Veronika Simona Tomáš Petra Kateřina Pavel Hana Viera Anna Jan Ivana Radvana Sandro Jakub Alžbeta Plačková Svobodová Urbanová Nová Selucká Tomková Dvořák Gretz Provazníková Ďurišová Filipcová Kosinová Krakorová Miklíková Velichová Matušková Mikolajová Vychodil Adamusová Dvořáková Honig Knoppová Oroszová Vaverová Dobiáš Kanderová Krížanová Gregor Hamšík Pavlíková