Under 40 kg History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Young boy who walked in with parents, is sitting on the gurney, says to you, “My head hurts,” and has an obvious swelling on the left side of his head Healthy; bumped head on wall 98.6 85 22 92/56 109/18 Closed head injury (tender edema left parietal area)
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Girl is sitting on gurney talking with her parents and holding her right wrist Healthy; tripped and fell on an outstretched hand 98.8 78 18 100/62 139/33 Right distal radius fracture
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Toddler is having difficulty breathing – has nasal flaring and audible wheezing Reactive airway disease; developed cough and progressive shortness of breath shortly after the earthquake Nasal flaring; bilat wheezing; using accessory respiratory muscles 99.0 120 40 90/50 86/13 Respiratory insufficiency; possible asthma/ RAD/ inhalation of dust/ allergens; exacerbated by anxiety
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Girl hopped in on one foot with help of father, not bearing weight on left leg Healthy; tripped over debris 98.6 78 19 102/64 135/28 Left ankle sprain
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Boy was carried in by his father and cannot bear weight on his right leg Healthy; older brother fell onto patient 98.8 82 18 106/64 127/26 Right fibula fracture
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Lethargic infant, staring without focus; mother is crying “Something fell on my baby’s head” Healthy; object fell off shelf onto patient’s head Lethargic; vomited X 3 at hospital; papilledema; abnormal neuro exam 98.7 180 45 60/38 61/6 Head trauma with intracranial injury; hypovolemic shock
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Alert toddler has obvious laceration on head and swollen right foot Healthy; objects fell onto patient 98.1 95 32 95/60 94/14 Scalp laceration; right foot fracture
Chief complaint
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Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Young girl, pale, diaphoretic, holding abdomen and vomiting; obvious deformity of left upper arm Healthy; bookcase fell onto patient Acute distress; pale; abdomen with mild distention, diffuse tenderness, rebound, guarding; left arm deformity, edema, tenderness. 99.2 130 27 80/45 114/20 Crush injury; splenic injury; liver injury; left humeral fracture
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Girl is struggling to breathe with circumoral cyanosis; cannot answer any questions Previous health hx unknown; became extremely anxious after earthquake and could not find her inhaler Struggling to breathe; unable to speak; cyanosis around mouth 98.6 110 35 104/58 119/23 Respiratory distress
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Pale adolescent boy brought on a gurney groaning and holding his left thigh Healthy; fell (refuses to bear weight) 99.1 90 20 101/73 145/36 Left femoral shaft fracture
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Adolescent girl who walked in with multiple cuts on hands and legs Healthy; had to crawl through glass to escape 97.8 72 18 94/60 140/33 Multiple superficial to deep cuts on palms, knees, shins, feet; no active bleeding
Chief complaint
Agitated preschool boy brought to ED by paramedics who found him wandering the streets alone 4 hours after the earthquake Healthy; paramedics found patient 4 hours after earthquake Child appears afraid and confused; becomes agitated when asked about family; cannot recall recent events; increased startle response 97.6 96 20 104/64 109/15 Acute stress disorder
Chief complaint History Exam
History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Young boy with left orbital ecchymosis, nose bleed and bleeding gums, upper teeth displaced backward Healthy; trophies fell on patient Left orbital ecchymosis; maxillary tenderness; epistaxis; lingually displaced upper incisors 98.6 90 20 100/70 133/28 Left zygomatic arch and maxilla fractures
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Young semiconscious girl brought in by ambulance, pale Healthy; large television fell on patient Declining mental status; unstable pelvis; right thigh and buttock ecchymosis 100.8 152 21 50/36 94/14 Hypovolemic shock; crush syndrome; pelvic fracture; high femus fracture
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Limp infant with dry mouth, sunken eyes, blank stare, tachypnea Healthy; mother had no water to make formula for the infant Sunken anterior fontanelle; oliguria; dry mucous membranes; no tears 99.2 158 42 95/50 65/7 Dehydration
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Young boy crying with severe pain in lower left leg which is swollen, red, hot Healthy; patient fell and left leg became wedged between furniture Left lower leg edema, erythema, pain out of proportion, increase temperature 99 94 22 120/78 122/23 Compartment syndrome of left leg; left tib/fib fracture; right scaphoid fracture
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Adolescent boy with short halting breaths and obvious respiratory distress, holding left side Healthy; object fell on patient Left chest tenderness with decreased breath sounds; LUQ abdominal tenderness 100.6 96 32 118/72 144/36 Left pneumothorax; spleen injury; rib fractures
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Preteen girl female brought in by ambulance, unable to move right leg Healthy; patient was riding bicycle and crashed into a tree when earthquake hit. She was wearing a helmet. Tenderness over tight clavicle; R lower extremity externally rotated and foreshortened, with tenderness over R hip 99.9 90 19 109/69 138/33 Right clavicle fracture; right hip fracture
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Healthy appearing active and talkative toddler girl Healthy; Mom carrying child and fell during earthquake. 98.6 88 24 93/55 85/12 Normal physical exam; no signs of trauma
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Young girl who is sitting on gurney with drooping left shoulder; is hysterically crying in pain Well-controlled asthma; fell while climbing tree house ladder Left humeral head displaced anteriorly and inferiorly 98.7 84 21 106/70 133/29 Left glenohumeral dislocation
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Young boy, who is sitting on his mother’s lap, is holding his hand over right eye Healthy; foreign body in eye, possibly glass 98.5 102 29 96/65 115/21 Foreign body in cornea
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Young boy sitting on gurney with cuts on his face and arms Healthy; window shattered near patient 98.4 86 25 100/60 122/23 Multiple deep and superficial lacerations, some requiring foreign body removal and sutures
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Young boy sitting on gurney holding his left arm and talking to his father Healthy; object fell on patient 98.5 81 19 96/62 128/26 Left radius and ulna fracture
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Preschool girl standing by the gurney and talking to her grandmother Healthy; object fell on patient Right upper quadrant tenderness; Right CVA tenderness 99.3 108 28 80/51 101/16 Right renal contusion
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
Preschool girl brought in by ambulance who cannot feel or move her legs Healthy; object fell on patient Tenderness over lower lumbar spine; decreased sensation, motor response at knees and distally bilaterally 98.5 106 27 101/63 108/18 Displaced L4 vertebral fracture; spinal cord injury
40 kg and up
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
14 yo female with severe abdominal pain Healthy, blunt abdominal trauma Abdominal distension with diffuse tenderness , rebound and guarding 102 132 26 115/75 160/50 Acute abdomen; possible bowel perforation
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
15 yo female with scald burn on right hand and right thigh Healthy; was drinking hot tea which spilled during earthquake 98.4 80 17 112/72 163/ 52 First degree burn right palm; second degree burn right hand and right thigh
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
12 yo male with difficulty breathing, right chest pain, right arm pain , right leg pain Healthy; fell off top bunk bed into lower bed and debris In respiratory distress and extreme pain; flail right chest with decreased breath sounds; right forearm tenderness; tenderness and edema right thigh 100.9 92 24 110/72 175/40 Right pneumothorax; right rib fractures 4-7; midshaft fracture of right ulna; right femoral shaft fracture
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
11 yo male with abdominal pain Healthy; dresser fell onto patient Moderate distress; left upper quadrant tenderness 98.9 85 22 124/77 175/64 Splenic injury (hemodynamically stable); left rib fractures 11 and 12
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
16 yo male with broken left leg Healthy; fell down stairs landing on debris 100.1 124 18 118/70 173/61 Open tibia and fibula fracture; right clavicle fracture; right glenohumeral dislocation
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
18 yo female with right knee pain Healthy; was pushed by family member while trying to evacuate apartment 98.6 83 16 102/68 165/56 Acute knee injury; possible meniscus or ligamentous tear
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis Chief complaint History Exam
14 yo female with respiratory distress Healthy; was found under a fallen wall and debris 36 hours after earthquake Confused; difficulty breathing; diffuse petechial rash; declining mental status; right upper arm edema; left hip edema, ecchymosis 101 140 32 110/70 163/45 Fat emboli syndrome; right humerus fracture; left hip fracture
Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
12 yo female with hypotension Healthy; lower body had been crushed under rubble; trapped for 3 hours Pale; declining mental status; L leg externally rotate and foreshortened; absent popliteal and distal L leg pulses 100.9 120 28 69/46 155/41 Crush syndrome; dehydration; hypovolemic shock; acute renal failure; pelvic fracture; left hip fracture
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
13 yo male with headache Healthy; fell and hit head and admits to brief LOC Declining mental status; left temporal contusion/ hematoma; dilated left pupil 100.4 57 14 100/58 155/45 Epidural hematoma; left temporal bone fracture
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
15 yo male with burns Healthy; gas explosion/fire at patient’s home 101 120 22 85/53 170/57 Second and third degree burns to 30% body surface
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
12 yo female with respiratory distress Healthy; gas explosion/fire at patient’s home 100.9 97 35 104/72 151/42 Smoke inhalation
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
13 male stating “I cut my finger off” Healthy; was using a saw in woodshop class when earthquake hit 98.8 85 19 112/74 156/45 Left index finger amputation
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
16 yo female with knee pain Healthy; patient fell on concrete hitting knee first 97.9 75 20 116/76 162/54 Right patellar fracture
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
17 yo male with head pain Healthy; object fell on patient; he admits to brief LOC 98.7 69 17 122/76 177/65 Closed head injury; concussion
Chief complaint History Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
15 yo male with right ankle pain Healthy; patient tripped over debris 98.6 75 18 119/78 170/56 Right ankle sprain
Chief complaint History Exam Temperature Heart rate Respiratory rate Blood pressure Height/weight Diagnosis
