Pre-hospital Management of Severe Anaphylaxis Assignment
| University | Durban University of Technology (DUT) |
| Subject | Pre-hospital Management of Severe Anaphylaxis |
CASE DETAILS
| Case Information: | |||
You have been called to the premises/rooms of a GP in a rural residential area to transport a patient in respiratory distress after being given a Penicillin injection for flu symptoms. You arrive on scene within 10 minutes of the call. Medical History: Chronic asthma since childhood Daily Medications: Seretide (beta-2+steroid) inhaler; Salbutamol inhaler, methylprednisolone tablets when necessary |
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| Signs & Symptoms: | |||
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| Vital Signs: | |||
| Resp rate | 40 per minute | SpO2 | 82% on room air |
| Heart rate | 130 per minute | Temp. | 37.5 °C |
| BP | 80/60 mmHg | EtCO2 | 36 mmHg |
| BGL | 7 mmol | Cap refill | <3 sec |
| AVPU | Pain response only | Skin | Cool & clammy |
Initial presentation:
Chief Complaint: Severe shortness of breath and chest tightness
History: The patient has been experiencing worsening shortness of breath over the past 30 minutes, despite using her prescribed inhalers. She used her Salbutamol inhaler multiple times with no relief. The GP’s receptionist called emergency services when the patient could no longer speak in full sentences. The GP had left the rooms after he had attended to the patient, and is not currently available.
Upper airway: Patent but patient is having difficulty inhaling and complains of difficulty swallowing her saliva.
Breathing:
- Auscultation: Bilateral severe inspiratory and expiratory wheezes
- Accessory muscle use, unable to speak in full sentences
Circulation:
- ECG: Sinus tachycardia
- Delayed capillary refill
- Flushed skin
- Weak, rapid peripheral pulses
Other
- Patient initially had flu-like symptoms i.e. dry cough, body aches and nasal congestion. Developed itchy skin and sore throat about 5 minutes after receiving penicillin injection.
- The patient received penicillin injection only once before, 2 years ago.
ASSIGNMENT:
- Use ChatGPT to draft patient management of this patient. This must include intext references. (2)
- Give a rationale for each management step. (18)
- Critique chat GPT the patient management of this patient in terms of your training and HPCSA guidelines. (10)
Suggested areas to consider:
Is the treatment the best option? Can you improve it? If so, how?
Are the references correct? Do they say what ChatGPT says that they say?
Despite treatment, the patient’s condition continues to deteriorate. She becomes increasingly tachypnoeic and anxious, with audible wheezing and difficulty speaking, deteriorating into a state of unconsciousness.
| Vital Signs: | |||
| Resp rate | 10 per minute | SpO2 | 89% |
| Heart rate | 135 per minute | Temp. | 37.5 °C |
| BP | 100/60 mmHg | EtCO2 | 36 mmHg |
| BGL | 10 mmol | Cap refill | 3 sec |
| AVPU | Less responsive | Skin | Cool & clammy |
- Use ChatGPT to draft patient management of this patient. This must include intext references. (2)
- Give a rationale for each management step. (10)
- Critique chat GPT the patient management of this patient in terms of your training and HPCSA guidelines, as per Q3. (8)
The patient suddenly goes into pulseless ventricular tachycardia cardiac
arrest, immediately after ET tube is secured.
| Vital Signs: | |||
| Resp rate | 10 per minute | SpO2 | 0% |
| Heart rate | Pulseless VT | Temp. | 36 °C |
| BP | 0 mmHg | EtCO2 | 28à 0 mmHg |
| BGL | 10 mmol | Cap refill | Undetermined |
| AVPU | Unresponsive | Skin | Cool & clammy |
- Use ChatGPT to draft patient management of this patient. This must include intext references. (2)
- Give a rationale for each management step. (10)
- Critique chat GPT the patient management of this patient in terms of your training and HPCSA guidelines, as per Q3. (8)
Accurate referencing must be used throughout the assignment.
DUE DATE: 22 September 2025
Get Help By Expert
Many students struggle with pre-hospital management assignments due to the complexity of emergency protocols, clinical reasoning, and referencing requirements. Our experts at Assignment Helper My provide AI-free, plagiarism-free management assignment help. Get step-by-step patient management plans with rationales, in-text citations, and critiques aligned with HPCSA guidelines to achieve top marks.
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