Pre-hospital Management of Severe Anaphylaxis Assignment

CASE DETAILS

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.

• 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.

• 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

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