2 Contests

Lets let #2 go until Tuesday night at 12PM EST.

Without saying if an answer presented is correct or not thus far, how'd you get the symbol for delta to show up in your post?
 
Use Microsoft word INSERT > SYMBOL and all the greek letters are listed under the Unicode (hex) character set. Then you simply copy & paste from Word into your reply.
 
Score after #2:
erictheobscure: 1
jaysun23: 4
simpledude16: 3
Jason_of_Texas: 1
field: 1
cman78: 0

I'm going to try and get #3 up before this weekend.
Thanks for playing guys.
 
#3 of 5, and this one is worth 5 points.

Firstly, I realize this is a week late, but standing out in the heat for 10 hours a day has been leaving me drained.

Anyways, heres one from work today actually, but also combines some medicine.

At about 3 o'clock, The rotation has me at the first aid tent. Two kids walk up, and one has his hands cupped in front of his face with blood pouring down. Upon further examination, its a nose bleed, and he isn't talking because his face hurts too much, but his friend has confirmed he got knocked into a wall in the wave pool face first.

He's an 8 year old, good pulse, breathing 28BPM, but is really only responsive to strong verbal stimuli. and pupils are slugish, and not very equal. EMS is on the way and his guardians have been notified. I've got him sitting in the tripod position so he can drain out into the gauze, and hopefully keep any more blood from getting swallowed or anything from blocking his airway.

What am I doing until they show up? And what kinds of possible problems am I worried about based on the signs and symptoms?
 
EMSinTraining said:
#3 of 5, and this one is worth 5 points.

Firstly, I realize this is a week late, but standing out in the heat for 10 hours a day has been leaving me drained.

Anyways, heres one from work today actually, but also combines some medicine.

At about 3 o'clock, The rotation has me at the first aid tent. Two kids walk up, and one has his hands cupped in front of his face with blood pouring down. Upon further examination, its a nose bleed, and he isn't talking because his face hurts too much, but his friend has confirmed he got knocked into a wall in the wave pool face first.

He's an 8 year old, good pulse, breathing 28BPM, but is really only responsive to strong verbal stimuli. and pupils are slugish, and not very equal. EMS is on the way and his guardians have been notified. I've got him sitting in the tripod position so he can drain out into the gauze, and hopefully keep any more blood from getting swallowed or anything from blocking his airway.

What am I doing until they show up? And what kinds of possible problems am I worried about based on the signs and symptoms?
Click to expand...

Keep talking to him so he does not pass out
 
EMSinTraining said:
#3 of 5, and this one is worth 5 points.

Firstly, I realize this is a week late, but standing out in the heat for 10 hours a day has been leaving me drained.

Anyways, heres one from work today actually, but also combines some medicine.

At about 3 o'clock, The rotation has me at the first aid tent. Two kids walk up, and one has his hands cupped in front of his face with blood pouring down. Upon further examination, its a nose bleed, and he isn't talking because his face hurts too much, but his friend has confirmed he got knocked into a wall in the wave pool face first.

He's an 8 year old, good pulse, breathing 28BPM, but is really only responsive to strong verbal stimuli. and pupils are slugish, and not very equal. EMS is on the way and his guardians have been notified. I've got him sitting in the tripod position so he can drain out into the gauze, and hopefully keep any more blood from getting swallowed or anything from blocking his airway.

What am I doing until they show up? And what kinds of possible problems am I worried about based on the signs and symptoms?
Click to expand...

Well, with my limited medical knowledge I would be worried about keeping the kid calm so that he doesn't start hyperventilating and along with that keep him from inhaling his own blood. Like you said, keeping his airways clear and him calm.

As far as what might have happened to him physically? If he went face first into an imovable object it's possible that he has a broken nose, that's on the lighter side, and on the more severe side of things I would worry that the orbital around the eye might have cracked, that maybe he has a concussion.

I'm not sure if this is the type of answer you were looking for.

If the orbital is cracked it could be sticking bone shards into the brain.

I'd watch his vitals as well as watching for other signs such as tremors or seizure. I think it's also important to watch whether the "color" leaves his face or he becomes ash in color.

Finally, along with everything that I already said, I'd be watching for any signs that he's going into shock, i.e. elevated temp.

How did I do for an amteur?
 
EMSinTraining said:
#3 of 5, and this one is worth 5 points.

Firstly, I realize this is a week late, but standing out in the heat for 10 hours a day has been leaving me drained.

Anyways, heres one from work today actually, but also combines some medicine.

At about 3 o'clock, The rotation has me at the first aid tent. Two kids walk up, and one has his hands cupped in front of his face with blood pouring down. Upon further examination, its a nose bleed, and he isn't talking because his face hurts too much, but his friend has confirmed he got knocked into a wall in the wave pool face first.

He's an 8 year old, good pulse, breathing 28BPM, but is really only responsive to strong verbal stimuli. and pupils are slugish, and not very equal. EMS is on the way and his guardians have been notified. I've got him sitting in the tripod position so he can drain out into the gauze, and hopefully keep any more blood from getting swallowed or anything from blocking his airway.

What am I doing until they show up? And what kinds of possible problems am I worried about based on the signs and symptoms?
Click to expand...


Keep an eye on his blood pressure. If his pulse pressure (The difference between systolic and diastolic) starts to widen, you have some problems as this is an indication of increased ICP (intracranial pressure). Also keep an eye (pun) on his pupils as unequal, sluggish pupils are also a sign of increased ICP. Make sure there are no battle signs (bruising around the back of the ears) and periorbital echymosis. Check for otorhea. If there is otorhea do a bullseye test to check for CSF (cerebral spinal fluid) in case of a positive bullseye test, pack with sterile gauze; if the previous signs are present he more likely than not has a basilar skull fracture, and his odds of surviving are not good. From what you've described there is a decrease in his GCS. Ask him questions such like "do you know where you are?" "What's your friend's last name" "What month is it?" To check for his level of awareness. Immobilize the spine since he has had a head injury, and has signs and symptoms of increased ICP. Do a CSM (circulation, sensation, movement) test on his extremities. Do full secondary assessment to make sure he isn't hurt anywhere else. At this point, my main concern would of course be his unequal,sluggish pupils and decreased GCS since again, this is a very good sign of increased ICP and possible intracranial bleeding. You're also going to want to keep an eye on his skin to make sure it stays warm, pink and dry, and doesn't start to get pale, cool diaphoretic. And hope to God he doesn't start going into flexion, extension or trismus posturing cause if he does, he is in serious trouble. Watch out for nausea and vomiting (specially projectile vomiting; that is very bad sign). Another thing that has me thinking increased ICP is his breathing; sure it's only slightly elevated for an 8 year old whose probably frightened and anxious, but this could mean his brain is getting hypoxic (lack of oxygen to the brain). I think I'll leave it at that since I'm tired of typing. If you want more, I could go on into more detail about head injuries.
 
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Alyks said:
Keep an eye on his blood pressure. If his pulse pressure (The difference between systolic and diastolic) starts to widen, you have some problems as this is an indication of increased ICP (intracranial pressure). Also keep an eye (pun) on his pupils as unequal, sluggish pupils are also a sign of increased ICP. Make sure there are no battle signs (bruising around the back of the ears) and periorbital echymosis. Check for otorhea. If there is otorhea do a bullseye test to check for CSF (cerebral spinal fluid) in case of a positive bullseye test, pack with sterile gauze; if the previous signs are present he more likely than not has a basilar skull fracture, and his odds of surviving are not good. From what you've described there is a decrease in his GCS. Ask him questions such like "do you know where you are?" "What's your friend's last name" "What month is it?" To check for his level of awareness. Immobilize the spine since he has had a head injury, and has signs and symptoms of increased ICP. Do a CSM (circulation, sensation, movement) test on his extremities. Do full secondary assessment to make sure he isn't hurt anywhere else. At this point, my main concern would of course be his unequal,sluggish pupils and decreased GCS since again, this is a very good sign of increased ICP and possible intracranial bleeding. You're also going to want to keep an eye on his skin to make sure it stays warm, pink and dry, and doesn't start to get pale, cool diaphoretic. And hope to God he doesn't start going into flexion, extension or trismus posturing cause if he does, he is in serious trouble. Watch out for nausea and vomiting (specially projectile vomiting; that is very bad sign). Another thing that has me thinking increased ICP is his breathing; sure it's only slightly elevated for an 8 year old whose probably frightened and anxious, but this could mean his brain is getting hypoxic (lack of oxygen to the brain). I think I'll leave it at that since I'm tired of typing. If you want more, I could go on into more detail about head injuries.
Click to expand...

This is what I get for not beating Alyks to the post, but I was at a 10-50 (double fatality) all night and just got home from the station. Everything that is stated above is dead on so there is really no sense in me repeating it and anything I type will just look like a lame copy so YOU DA MAN!!. The biggest problem with this scenario, besides the injury to the child, is that you can't do jack squat without parental consent (in most municipalities).
 
Well, I think I'll call it for this part,

Score after #3:
erictheobscure: 1
jaysun23: 9, spot on as well, although I wouldn't expect anything less from you at this point;)
simpledude16: 3
Jason_of_Texas: 1
field: 1
cman78: 0
Tuxguy: 1, close, his passing out would be bad so I'll give ya one for that.
no1der:3, for an amateur that is good answer, not quite as in depth as Alyks, but its his job to kick ass at stuff like this so there ya go.:)
Alyks: 5, spot on, I'm glad there are a fair number of EMS people here, I've already got another idea for a contest I think I'll want to try later.

Anyway, as it turns out, the ALS rig got there pretty quick, I'd gotten the bleeding stopped, and I had him sitting tripod which appeared to help his breathing as he finally slowed down to around 18BPM or so, pulse was good. So I handed him off to the medics and went back on stand. Boss told me at the end of the day that the kid was fine for the most part. He told me his nose was broken, but that was the worst of it, ALS didn't transport, his uncle picked him up, so I'm hoping he's feeling better now and has a cool story for the ladies. Maybe spice it up a little with a shark trying to bit his sister or something:D

Next part will be up once I get back to Purdue this weekend, Probably something more general and maybe relating to the subject of big ten sports.
 
EMSinTraining said:
Well, I've been a member here in the jungle for about 5 months or so, and I think I'm ready to try my hand at running a contest.

Unfortunatly, I'm not really sure what I'd like to use for this contest, so here is part 1:

Suggest an idea for me to use as a contest, if I use your idea, you've won the first contest.

I think I'd like to offer a nice 5er to the winner of part 1.

Part 2 will be the suggested contest, and I can't give any more details until part 1 is complete I'm afraid.

There it is gorillas, get cracking.
Click to expand...

I like the idea to see how many people know what to do in an emergency. I know the city where i work people dont know what an emergency is. They call 911 for anything. For the kid that smashed his face in to a wall unequal and slugish pupils uhhh he is a trauma alert. Did he have LOC? If he did he would be getting a chopper ride to the ER
 
Once the ALS rig showed up, I had to hand him off and go back on stand. My boss told me they didn't transport so I was under the impression he was ok at that point.

As far as Part 4 goes, I realize its once again later than I expected, I need to start making some realistic time estimates. I was going to do one about some Big Ten football, but just about every idea I had could just be found on google which just takes the fun out of it, so I went with something different.

For 5 points: The old oaken bucket is a fairly well known game between IU and Purdue and is going to end this fall with another P being added. However, I want to know the name of the game between the little giants and the tigers here in Indiana that is also a great football game if not a little bit smaller in scale.
 
That would be the "Monon Bell Classic" in which the Monon Bell Trophy (a 300# locomotive bell from the monon railroad) is awarded to the winner of the DePauw University Tigers and the Wabash College Little Giants annual matchup. As of the end of the 2006 season, this game has been played 113 times with Wabash leading the series 53-51-9. The bell has been stolen either by the opposing team or by the general student body 8 times.

Here is a picture of the most important trophy in all of college football

ax1106.jpg
 
Well, Jaysun, you are just kicking the crap out of this contest so far.

Maybe that was too easy?

Score after part 4:

Score after #3:
erictheobscure: 1
jaysun23: 14
simpledude16: 3
Jason_of_Texas: 1
field: 1
cman78: 0
Tuxguy: 1
no1der:3
Alyks: 5

I think I need to throw in a bonus question or two just to keep everybody on their toes before part 5.:D
 
Its taken way too long for me to get back into the swing of things, so, to keep this from running forever, the next to the last question, worth 10 points is this:

How many continents have I visited?

And, if you identify every continent I've visited, I'll give an extra bonus point for each of them.

(so, to keep Jaysun on his toes, I'd say its time to start guessing.:ss)

I'll keep this one going until tonight at midnight.

(updates will follow on Wednesday.)
 
almost, but actually I've been on 4.

Anyway, seeing as the scores are still the same, and I think you're the last person still playing, Jaysun, I'm going to go ahead and declare you the winner of my first attempt at a contest. If you'd shoot me an address, I've got a bit of a prize package I need to get headed your way.
 
Got the contest goods in the mail the other day, a great selection of sticks here. I've only had the 5 Vegas before so some exploration is in order. Thanks for the contest EMS!!:tu

DSCN0777.jpg
 
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