24 hour - 2 patient PFC & TCCC Scenario draft VITALS.xlsx

	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O
1	MEDICAL TRAINING SCENARIO
2	Patient B "Gary"

3	PHASE	TIME		VITALS								WOUNDS	EXAM	INTERVENTIONS	NOTES
4	CARE UNDER FIRE			As patient presents								AMP L. Leg below knee, LAC to cheek/eye, blood/teeth in mouth, puncture wound to bilat chest LAC L. femoral	As PT presents	TQ - L. leg, pressure dressing - L. fem, occlusive - chest, CRIC
5	CARE UNDER FIRE	Hour 1 / 1500	AVPU	BP		HR	RR	TEMP	SPO2	CO2	UOP		As PT presents
6	TACTICAL FIELD CARE	1515	P	90	65	115	24	Actual	92%	45	-	Tension pneumo	Diminished breath sounds on R	Needle decompression
7		1530	U	80	45	130	32 S/L	Act	82%	50	-		Absent breath sounds R	Needle D x2
8		1545	U	85	55	120	28	Act	88%	40	-		Absent breath sounds R	TIVA
9		Hour 2 / 1600	U	82	40	100	24	Act	84%	40	-	Hypovolemia	5sec cap refill	Blood Transfusion Started	All other bleeds should be addressed before blood is given
10		1615	U	75	38	112	28	95	78%	37	20		5+sec cap refill
11		1630	U	70	35	132	32	94 or below	74%	32	20		Worsening shock
12		1645	U	68	40	120	32 S/L	94	68%	30	30	Hemothorax	Hypo-resonance, reduced breath sounds bilat	Bilat needle-D’s / Finger / Tubal Thora
13		Hour 3 / 1700	U	72	44	115	36	94	66%	28	30	Hemothorax	Hypo-resonance, reduced breath sounds bilat	Bilat needle-D’s / Finger / Tubal Thora
14		1715	U	90	65	99	26		88%	37	40			Bilat if only one tube placed
15	CTM SKILLS	1730	U	92	68	108	32 S/L	95	84%	40	40	Blood in Cric tube		Suction	This time will be dependent on medics and providers. It is for the medics to gain practice in skills they wish to train on. These are suggestions.
16		1745	U	95	70	94	24	95	88%	45	40			Aggressive Hypothermia Tx
17		Hour 4 / 1800	U	96	72	98	22	Actual if HPMK	90%	45	40	Re-Eval / Nursing		Aggressive Hypothermia Tx
18		1815	U	92	70	96	22	Actual if HPMK	90%	47	0	Afferent Pupil Defect		Lat Canth
19		1830	U	74	42	126	32		NA	38	0	Afferent Pupil Defect
20		1845	U	50	35	135	36		NA	33	0
21		Hour 5/ 1900		0	0	0	0	92	Not read	8	0		CODE	CPR x2 rounds if adequate. X4+ if poor.
22
23		1915
24													Fasciotomy w/ permanent marker on human implemented before pt deceased if you want to train on it
25		1945												Fasciotomy
26		Hour 6 / 2000
27		2015
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