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
Development of these materials paid for by NWHRN member contributions. © 2015, Northwest Healthcare Response Network. Copying and adaptations permitted for non-commercial, educational use only.
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