Charlie snowCharlie Snow is a 6-year-old Caucasian male staying with his aunt and uncle while hisparents are serving overseas in the military. Charlie presents in the emergencydepartment with tachycardia and dyspnea with mild stridor. His aunt and uncle reportthat he accidentally ate a cookie containing peanuts, and he has peanut allergies. WhenCharlie began having difficulty breathing, they rushed him to the emergencydepartment.He is currently able to talk through the dyspnea and is on a nasal cannula at 2 liters. Asaline lock has been placed in his left arm. He has been connected to a cardiac/apneamonitor with a SpO2 probe in place. Charlie is in bed, and the health care provider hasbeen notified of Charlie's arrival.Feedback Log0:00You arrived at the child.0:00You introduced yourself.0:05You washed your hands. To maintain patient safety it is important to wash yourhands as soon as you enter the room.0:10Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure:112/74 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 91%. Temp: 37.2 C0:22You identified the child. To maintain patient safety it is important that you quicklyidentify the child.0:54You obtained legal consent from the child's relative. This was reasonable.1:04Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure:111/74 mmHg. Respiration: 25. Conscious state: Appropriate. SpO2: 90%. Temp: 37.1 C1:58You identified the relatives. Consider doing this as one of your first actions after
Charlie snowwashing your hands.2:04Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure:113/75 mmHg. Respiration: 25. Conscious state: Appropriate. SpO2: 89%. Temp: 37.1 C2:09You sat the child up. It is correct to do so.2:15You looked for normal breathing. He is breathing at 26 breaths per minute. He hasretractions, a prolonged expiration phase, and a lot of audible wheezing. There isincreased respiratory effort.2:44You checked the pulse at the brachial artery. The pulse is strong, 145 per minuteand regular. It is correct to assess the child's vital signs.