Home » Free Resources » PALS Case Study » Out of Hospital Case Study 6

PALS Megacode 6 Out-of-Hospital

Hurry, don’t let time run out!

0 Hours 0 mins 0 secs

"*" indicates required fields

Step 1 of 10

You are a healthcare provider working on an ALS ambulance. You are dispatched to the home of an 11-year-old boy who according to dispatch is febrile, lethargic, and diaphoretic. Your response time to the scene is 4 minutes. Upon arrival, the father rushes you into the home where you find the mother tending to the child in their bedroom. A rapid initial impression (ABCs) reveals the following:

  • Appearance: Toxic, weak, lethargic
  • Breathing: Increased respiratory effort, rapid, labored
  • Circulation: Flushing
1. An initial impression tells you that the child is responsive, but in respiratory distress. As your ALS partner begins opening the jump bag, you notice that the childโ€™s left forearm is wrapped in first-aid gauze. Upon inquiry, the father explains that the child fell yesterday evening while playing at the park and that a piece of glass punctured his arm. The father further reports that the child appeared fine after the event, but started complaining of localized pain a few hours ago, followed by a high fever and general malaise. What differential should you be considering in the given scenario?*