Fa, La La La ... Doctor!

Cardiovascular System


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M66_F1.jpg"}},{"insert":"\n\n"},{"insert":"You feel happy as you lock up your house and head out for your long awaited holiday. It has been a long year, and you\u0027re excited for the upcoming two-week reprieve. Imagine that - no call outs, home visits or overtime. Paradise!e\n\nAfter two long-haul flights, you\u0027re starting to feel less enthused about the holiday. \u0022Just one more!\u0022 you think to yourself as you board the final domestic flight. A couple more hours, and you\u0027ll be in a comfortable bed...\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M66_F2.jpg"}},{"insert":"\n\n"},{"insert":"\u201cWelcome aboard Doctor!\u201d smiles the flight attendant. \u201cMay I call on you if we need any medical help on board?\u201d she asks. \u201cSure!\u201d you say, remembering that medical emergencies occur in roughly 1 in 600 flights. Hopefully, the odds will continue to be in your favor as they have so far.\n\nAs you walk down the aisle of the small plane trying to find your seat, you pass a cheerful looking elderly rotund gentleman and a sweet faced lady. The gentleman looks vaguely familiar, but you can\u2019t quite put your finger on why...\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M66_F3.jpg"}},{"insert":"\n\n"},{"insert":"You find your seat and settle in. After dozing off a few minutes after take-off, you are suddenly woken up by one of the flight attendants. \u201cDoctor?\u201d, she says, \u201cwe have a passenger complaining of chest pain, could you please take a look?\u201d\n\n\u201cOne in six hundred!\u201d you think as you follow her up the aisle. She stops near the seat of the elderly couple you saw before. The man looks ill, is sweating and clutching his chest.\n\n\u201cMr Korhonen? This doctor is here to help,\u201d the flight attendant says. \u201cCall me Launo, doctor,\u201d he says with difficulty.\n"}]}


{"ops":[{"insert":"Launo tells you that he is currently experiencing pain on the left side of his chest. The pain radiates to his shoulder and jaw. It has gotten worse and now he finds it difficult to breathe. His wife informs you that he is \u201con atorvastatin\u201d but has not been checked up regularly. \u201cHe\u2019s been too busy at work recently to get a check-up!\u201d she tells you worriedly.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M66_F5.jpg"}},{"insert":"\n\n"},{"insert":"Just as you are about to examine him, Launo loses consciousness and collapses. With the help of the flight crew and other passengers you quickly lie him down on the corridor.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M66_F6.jpg"}},{"insert":"\n\n"},{"insert":"Your mind quickly springs into action on how to deal with a possible cardiac arrest.\n\nWhat will you do?\n"}]}
1. Assess his pulse and airway
2. Administer adrenaline
3. Defibrillate him immediately