All stations
Medical
Advanced
11 minute stationAcute Severe Asthma, 27-Year-Old Female
Dispatch
Cat 1 — 27-year-old female, known asthmatic, unable to complete sentences, blue inhaler not helping.
On arrival
Patient tripod position in kitchen, audible wheeze, using accessory muscles, unable to speak more than two words at a time.
Initial observations
- Airway
- Patent, speaking in words only
- RR
- 34, widespread expiratory wheeze
- SpO2
- 89% on air
- Pulse
- 138 regular
- BP
- 128/78 mmHg
- PEFR
- Unable to perform, too breathless
- GCS
- 15, agitated