# Kardiales Lungenödem

!FALL|Cardiogenic pulmonary edema (Quiz-Set thanks to Sonja)

S1|Scene is safe, 4th floor, no elevator
S2|Patient is audible gurgling, obvious Cyanotic lips
S3|Potentialy critical patient
S4|Request a doctor and lifting assistance

X|No
W|Clear

 
#Mundraum frei?
A1|Yes
#Mundraum feucht, rosig, zahnstatus
A2|Moist mucous membranes and central cyanosis.
#Atemgeruch
A3|Normal

 
#Atemfrequenz
B1|33
#Abhören
B2|Gurgling, Dyspnea
# O2 Sättigung
B3|82
#Halsvenen
B4|Normal
#Zyanose? Hautfärbung?
B5|Obvious cyanotic
# Blick auf die Kapnometrie
B6|Not intubated
 

#Puls
C1|143
#Manuell gemessener BD
C2|190/100
#Maschinell gemessener BD
C3|191/103
#EKG
C4|Tachyarrhythmia
#Rekap
C5|less than 2 Sec
#Temperatur
D1|37°C
#Blutzucker
D2|112
#Pupillen
D3|Medium-wide, isocoric, light-sensitive
#GCS
D4|15
#Post
D5|Clear
#Befast B
D6|Patient has a known hemiparesis after Stroke
#Befast E
D7|OK
#Befast F
D8|OK
#Befast A
D9|Patient has a known hemiparesis after Stroke
#Befast S
D10|Nearly no speach due to dyspnea
#Befast T
D11|Significant clinical decline over the last few hours

 
#Untersuchung, pDMS
E1|Not required, no trauma
# pDMS Unterfragen
#E1>>SUB|pDMS Unterfragen
#E1.1|Durchblutung - Alle Extremitäten durchblutet
#E1.2|Motorik - Rechtes Bein zu viel Schmerz zum Bewegen
#E1.3|Sensorik - Alle Extremitäten normales Gefühl

#Untersuchung IPPAF
E2|Not required, no trauma
# OPQRST Schmerz Unterfragen


#Wundversorgung
E3|Not necessary
#Sampler S
E4|No pain
# OPQRST Schmerz Unterfragen
#E4|Schmerzen? NRS 5
#E4>>SUB|Kopfschmerzen, Schwindel, Unwohlsein
#E4.1|vor ca 30 min, kein Auslöser
#E4.2|Provocation - Schwindel zeitweise besser, Kopfschmerz dauerhaft
#E4.3|Quality - Drehschwindel, stechender Kopfschmerz
#E4.4|Radiation - Nein
#E4.5|Severity - NRS 4
#E4.6|Time - Gleichbleibend


#Sampler A
E5|No
#Sampler M
E6|ASS 100, Metoprolol, Metformin, Candesartan, Simvastatin
#Sampler P
E7|Stroke, Known AFib, T2DM, chronic HTN
#Sampler L
E8|No abnormalities noted
#Sampler E
E9|No abnormalities noted
#Sampler R
E10|Smoker
E11|It's warm, thanks.
E12|Prepare IV access
#Hs und Hits
E13|Not necessary

 
!MASSNAHMEN>>SUB|Medical procedures (Warning: may be wrong!)
!M1|No Shock position, Titrated O2 delivery, Monitoring, etc.
!M2|Request a doctor and lifting assistance

!MEDIKAMENTE>>SUB|Medication (Warning: may be wrong)
!MD1|1. Glyceroltrinitrat (SOP: 1x1Hub (0,4mg)s.l); 2. Furosemid (SOP: 20mg. Lamgsam i.v.)