Critical care ESCAPE ROOM

Escape critical care

start

Introduction

You have one hour to 'escape critical care'...To be successful you will need to follow the clues and challenges. Failure to do so may result in being trapped on level 6 forever...

Setting the scene

Saturday night shift - St Elsewhere Hospital

Welcome to the Emergency Department and Intensive Care Unit of St Elswehere Hospital. It is Saturday night and you all commenced nightshift at 1900hrs. You have a busy night ahead in both departments. I hope you all have the knowledge and skills to survive a Saturday night at St Elsewhere...

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The shift has been busy so far; you and your colleagues have already provided care for two patients with suspected influenza, one patient experiencing a severe asthma attack that has now been transferred to ICU, a woman experiencing a myocardial infarction who has now been handed over to the Cath lab staff, a likely concussion awaiting neuro review and a gentleman from a nursing home with abdominal pain and symptoms of constipation. There has been a brief lull in triage and your clinical NUM has suggested you take your tea break because you have a long shift still ahead. In the break room, you grab a coffee and find a few colleagues working on a crossword puzzle. While you and your colleagues do not typically do crossword puzzles, this crossword is called “Nightshift in the ED”. For a laugh, you and your colleagues work together on solving the puzzle. You all know this will be a breeze… (No more than 4 of you are in the break room at a time...please work in teams of 4).

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

Tests

Complete each test: there is no other way to escape!

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Clue 1:

Write the wrong option hereLorem ipsum dolor sit amet consectetur adipiscing

Write the correct option hereLorem ipsum dolor sit amet consectetur adipiscing

Test 1

You're doing great. Next question:Which of the following pairing about GCS is wrong?

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1 - No Verbal response

6 - Spontaneous Eye Opening

5 - Localises to pain (Motor Activity)

Test 1

You're almost there.Clinical evidence of diminished cardiac output includes:

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rapid capillary refill

widened pulse pressure

A narrow pulse pressure

bounding pulses

Test 1

Clue 1

.

The triage nurse has asked if you could please perform an ECG on Mavis Blanket. She is 88 years and has been having syncope episodes.

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As a team, determine Mavis's current cardiac rhythm. The name of this rhythm is the password for test 2.

Test 1

Test 2

Challenge time It is time to identify some cardiac rhythms... Identify the cardiac rhythms below. Using the first two letters of each rhythm, will reveal the password for the next test.

Test 3

Test 4

Test 5

Final test

Clues and Challenges

Complete each test to beat the game: there is no other way to escape!

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Question:It represents the body's attempt to preserve vital organs; the sympathetic nervous system response: hormonal, neurological, and chemical.

end of life stage

compensatory stage

hormonal compensation

Test 2

Question:The O2 -Hb dissociation curve is...

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relationship between PaO2 and % saturation in Hb

relationship between SpO2 and % saturation in Hb

relationship between PaCO2 and % saturation in Hb

Test 2

Last question of this test:A patient arrives at the emergency department who suffered multiple injuries from a head-on car collision. Which of the following assessment should take the highest priority?

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Unequal pupils

Irregular pulse

deviated trachea

Test 2

Challenge 1

You need to prime a blood pump set - correctly and Once completed, your Clinical NUM will give you the password for the next test.

Time to get priming as there is a trauma on the way!

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

Tests

Complete each test to beat the game: there is no other way to escape!

Your collegue has set up this patient's NG suction correctly.

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True

False

Test 3

2/2

Correct

Incorrect

Test 3

Clue 2

1. What can kill a person with only a thimbles worth; yet it is all around us at all times? 2. This is the chief natural alkaloid of the poppy.

Answer these riddles to find your next challenge

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The answers to these riddles are located in the lab; you will find your next challenge at one of these locations... Complete challenge 2 correctly to gain your next password.

Clue 3

In ICU, you have been asked to perform an ABG on new admission. You have collected an arterial sample and taken it to the ABG machine. The sample has now been processed and you collect the result. As a team, interpret the result - one team member to present your interpretation to the team leader. If correct, this is your next password.

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

Tests

Complete each test to beat the game: there is no other way to escape!

1/2

continuE

Drag concepts to the corresponding groupWrite down the corresponding numbers of the abnormal values

Group A Normal ABG values

Group B Abnormal ABG values

1. pH 7.4

2. pH 7.7

3. PaCO2 55 mmHg

4. PaO2 85 mmHg

5. HCO3 19 mmol/L

6. PaCO2 30mmHg

Test 4

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continuE

Solución

SOLUTION

Drag and complete the series correctly

Series 1

Series 2

Test 4

1 - D 2 - B 3 - A 4 - E 5 - C

SERIES 1: SERIES 2:

Test 1

Test 2

Test 3

Test 4

Challenge time

Final Test

Tests

Complete each test to beat the game: there is no other way to escape!

Clue 4

The starting rate is 4mL/hr (6mg/100mL 5% glucose)Calculate the current dose (mg/mL/hr) that the patient is receiving This will provide you with the next passcode.

The patient in ICU BED 2 needs a noradrenaline infusion

The patient in BED 2 has now arrested!You need to provide effective BLS (you may need to work with another team) The team leader will let you know if it is effective (and provide the next password) Click the arrow...

Challenge 3

Test 1

Test 2

Test 3

Test 4

Test 5

Final Test

Tests

Complete each test to beat the game: there is no other way to escape!

Surely you know the answer to this question:SVR, MAP, preload and stroke volume are terms related to:

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respiratory

haemodynamics

renal

Test 6

Completed

Congratulations, you have successfully escaped critical care

Start over?

back

That answer is not correct...

But don't lose your balance, continue on your way and try again!

Oh oh!