FAQ - Guide for Emergency Room 2

f E   mergency Room 2 (ER 2) FAQ
Copyright of Paul Pike [[email protected]]
ER 2 is copyright of Legacy Interactive
Version .32C

Ok everyone listen up! I want everyone to know that this is my work and I don't
want anybody ripping this FAQ off for themselves.


What is Emergency Room 2?
=========================
Emergency Room 2, created by Legacy Interactive, is a sim game in which you
take in patients, exam them and treat them. The whole goal of the game is to
make Chief of Staff by handling 100+ missions.

The Med-o-matic
===============

The Med-o-matic is your best friend in this game. The functions of it are:

S.O.A.P. (Subjective, Objective, Assessment and Plan)
Notes (Used to review which tests you've done)
Comm. (Used to talk to either Dr. D. Boss or whomever the doctor is in the room
for help)
Glossary (Used to look up medical terms for problems and body parts)

S.O.A.P.: Answering the questions of the S.O.A.P. allows you to get more points
and make good with Dr. D. Boss. The S.O.A.P. quesations here are done in
respective order from top to bottom (ex. S: 2nd and 1st choices. That means on
the Subjective Part, click on the 2nd circle, go down, then click the 1st
circle.)

Notes: You can look at the notes to see what the results were of the test you
did.

Comm.: Besides talking to Dr. D. Boss, you can use this to ask for help from
other doctors in the current room.

Examination Room: Keri Taker
Imaging Room: C.N. Sideyou
Laboratory: Mike Roscope
Treatment: Drew R. Dyer

Glossary: Do I need to say anything more?

Tools of the trade
==================

Examination Room
----------------

EKG: Used on the heart to record the electric impulses in the heart
Sphygmomanometer [say that 3X fast ;)]: Used on the upper arm to measure blood
pressure
Thermometer: Used in the mouth to measure the body temperature
Respirometer: Used to measure the patient's respiration rate
Magnifying Glass: Used to examine a part of the body
Glove: Used to get palpation info on a body part
Pulsometer: Used on a finger to measure the pulse rate
Stethoscope: Used on the heart to hear heart sounds, on the lungs to hear
respiration sounds, and on the abdomen to hear bowel sounds
Penlight: Used on the eye to check pupil response
Nasoscope: Used on the nose to examine the nasal mucosa
Othalmoscope: Used on the eye to inspect the inside of the eye
Tongue depressor: Used in the mouth to examine the mouth and throat
Othoscope: Used on the ear to view inside the ear
Eye dye: Used on the eye to detect abnormalities in the cornea

Imaging room
------------

X-ray: Used to take a photograph of the inside of the body
Ultrasound: Used for diagnostic or therapeutic purposes
CAT Scan: Used to get tomography info

Laboratory
----------

Treatment
---------

Nasal Prongs: Inserted into the nostrils to administer oxygen as treatment
protocol
Ear, Eye and Nose Drops: Medication administered into the ear, eye or nose
Sponge: Used to cleanse a wound skin area
Ambu Bag: Squeezable air reservoir used over the mouth to provide ventilation
Cervical Collar: Used to immobilize the neck
Silver Nitrate/Hot Cautery Tip: Used to stop a wound from bleeding or to
release a subungal hematoma
Wrap: Used to apply compression on an extremity
ET (Endo-tracheal) Tube: Placed in the trachea through the mouth for
ventilation
Tongue Guard: Used in the mouth for seizure protection
Irrigation Syringe: Used to irrigate a wound
Medication Syringe: Used to inject medication in the upper arm or locally at
the wound site
Forceps: Used to explore and debride wounds, and to remove foreign bodies
Oxygen Mask: Placed over the mouth and nose to improve oxygen
PO Meds (Per Oral Medications): Medications taken by mouth
Compress: Used to apply a warm or cool compress to an area
Topical Medication: Medications placed topically on the skin
Aerosolized Medications: Medications inhaled through the mouth into the airways
IV Medications: Medication infused through the IV system (usually in the
forearm)
NG (Nasal-gastric) Tube: Inserted into the nose to pump the stomach  of its
contents or to decompress air in the GI tract
Gauze: Used to pack wounds
Splint Material: Used to immobilize an extremity
Nasal Splint: Used to immobilize the nose
Bandage: Used to dress a wound
Gel: Anesthetic applied to certain wounds
IV: Inserted into a vein (usually the forearm) to established an IV route,
increase fluid volume, or infuse blood

The patients await you, doc!
----------------------------------------------------------------------------------
-------------
Patient 000
Case: Itchy hands

S.O.A.P. Questions

S: 1st and 2nd choices
O: All 1st choices
A: 4th choices
P: 3rd and 1st choices.

Examination room
-Magnify glass on left and right hands
-Stethoscope on chest

Treatment
-Medication syringe on right upper arm
-Sponge on both hands
-Discharge
-Hospital orders
	-Recheck patient


Patient 001
Case: Wheezing

S.O.A.P. Questions

S: 1st and 1st choices
O: 1st and 3rd choices
A: 1st choice
P: 2nd and 1st choice

Examination room
-Stethoscope on chest and heart
-Sphygmomanometer on upper arm
-Respirometer in mouth
-Magnifying glass on chest
-EKG on heart

Treatment
-Med syringe on upper arm
-Aero med to mouth
-Discharge
-Hospital orders
	-Patient under constant monitoring
	-Patient rechecked
	-Patient encouraged to drink fluids

Patient 002
Case: Burnt forearm

S.O.A.P. Questions

S: 2nd and 1st choices
O: 3rd and 3rd choices
A: 2nd choice
P: 3rd and 2nd choices

Examination room
-Glove and magnifying glass on left forearm

Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on left
forearm
-Discharge

Patient 003
Case: Hurt playing soccer

S.O.A.P. Questions

S: 3rd and 4th choices
O: 2nd and 4th choices
A: 1st choice
P: 4th and 1st choices

Examination room
-Magnifying glass and glove on left ankle

Imaging room
-X-ray on left ankle

Treatment
-Compress (1st) and splint (2nd) on left ankle
-Discharge
-Hospital orders
	-Dispense crutches
	-Extremity elevated
	-Area immobilized

Patient 004
Case: Hurt wrist while rough housing

S.O.A.P. Questions

S: 3rd and 1st choices
O: 4th and 2nd choices
A: 3rd choice
P: 2nd and 1st choices

Examination room
-Magnifying glass and glove on left wrist

Imaging room
-X-ray left wrist

Treatment
-Compress (1st) and splint (2nd) on left wrist
-Discharge
-Hospital orders
	-Area elevated
	-Area immobilized

Patient 005
Case: Stuck something up nose

S.O.A.P. Questions

S: 4th and 3rd choices
O: 3rd and 4th choices
A: 1st choice
P: 1st and 1st choices

Examination room
-Magnifying glass, glove, and nasoscope on nose
-Glove on both cheeks

Treatment
-Nasal spray (1st), magnetized instrument (2nd) irrigation syringe (3rd) and
drops (4th) on nose
-Discharge

Patient 006
Case: Ear hurts

S.O.A.P. Questions

S: 2nd and 1st choices
O: 3rd and 1st choices
A: 4th choice
P: 1st and 1st choices

Examination room
-Othoscope on right ear
-Thermometer in mouth

Treatment
-Nasal spray on nose
-PO meds in mouth
-Drops on right ear
-Discharge

Patient 007
Case: Ear painful

S.O.A.P. Questions

S: 3rd and 2nd choices
O: 3rd and 4th choices
A: 4th choice
P: 3rd and 1st choices

Examination room
-Othoscope on right ear

Treatment
-PO meds in mouth
-Discharge

Patient 008
Case: Fell on bars, hurt elbow

S.O.A.P. Questions

S: 4th and 2nd choices
O: 1st and 3rd choices
A: 1st choice
P: 4th and 1st choice

Examination room
-Magnifying glass and glove on right elbow

Imaging room
-X-ray on right elbow

Treatment
-Compress (1st) and splint (2nd) on right elbow
-Discharge
-Hospital orders
	-Area elevated
	-Area immobilized

Patient 009
Case: Stepped on something

S.O.A.P. Questions

S: 4th and 2nd choices
O: 3rd and 4th choices
A: 4th choice
P: 4th and 1st choices

Examination room
-Magnifying glass and glove on left foot

Imaging room
-X-ray on left foot

Treatment
-Spongue (1st), med syringe (2nd,) forceps (3rd), irrigation syringe (4th),
magnetized instrument (5th), topical med (6th) and bandage (7th) on left foot
-Discharge

Patient 010
Case: Sore throat, hurts to swallow

S.O.A.P. Questions

S: 2nd and 1st choices
O: 2nd and 1st choices
A: 3rd choice
P: 2nd and 1st choices

Examination room
-Glove on chin/neck
-Thermometer and tongue depressor in mouth

Treatment
-PO meds in mouth
-Discharge
-Hospital orders
	-Warm salt water gargle
	-Anesthetic swallow administered

Patient 011
Case: Fell by pool, hurt thigh

S.O.A.P. Questions

S: 3rd and 1st choices
O: 4th and 1st choices
A: 2nd choice
P: 2nd and 1st choice

Examination room
-Glove on left hip, left thigh and pelvis
-Magnify glass on left thigh and left hip

Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on left thigh
-Discharge

Patient 012
Case: Hurt leg moving furniture

S.O.A.P. Questions

S: 3rd and 2nd choices
O: 2nd and 1st choices
A: 1st choice
P: 4th and 1st choices

Examination room
-Magnifying glass on left leg
-Glove on left ankle, left leg and left knee

Imaging room
-X-ray left knee

Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on left leg
-Discharge

Patient 013
Case: Hurt arm playing baseball

S.O.A.P. Questions

S: 4th and 2nd choices
O: 3rd and 1st choices
A: 3rd choice
P: 2nd and 1st choices

Examination room
-Glove on right elbow, right forearm and right wrist
-Magnifying glass on right forearm

Treatment
-Compress (1st) and wrap (2nd) right forearm
-Discharge
-Hospital orders
	-Patient advised to rest injured extremity
	-Extremity elevated

Patient 014
Case: Fell ice skating, hurt ankle

S.O.A.P. Questions

S: 4th and 3rd choices
O: 2nd and 3rd choices
A: 4th choice
P: 2nd and 1st choices

Examination room
-Magnifying glass and glove on right ankle

Imaging room
-X-ray right ankle

Treatment
-Compress (1st) and spling (2nd) on right ankle
-Discharge
-Hospital orders
	-Ankle elevated
	-Ankle immobilized
	-Crutches dispensed
	-X-ray confirms anatomical positioning

Patient 015
Case: Stomach pain, vomitting

S.O.A.P. Questions

S: 4th and 4th choices
O: 1st and 4th choices
A: 1st choice
P: 3rd and 3rd choice

Examination room
-Stepthoscope on heart and abdomen
-Glove and magnifying glass on abdomen
-Thermometer in mouth

Imaging room
-X-ray on abdomen

Laboratory
-Blood test hemoglobin/hematocrit, glucose, complete bloodcount and
sodium/potassium on elbow
-Urine test microchemistry on pelvis

Treatment
-PO meds in mouth (1st), IV med in forearm (2nd)
-Call in surgeon to continue care and admit
-Hospital orders
	-Patient advised to take nothing by mouth except medications

Patient 016
Case: Sore throat, coughing, fever

S.O.A.P. Questions

S: 2nd and 3rd choices
O: 1st and 2nd choices
A: 1st choice
P: 2nd and 1st choices

Examination room
-Stethoscope on heart and chest
-EKG on heart
-Tongue depressor, thermometer, magnifying glass and respirometer in mouth
-Sphygmomanometer on upper arm

Imaging room
-X-ray chest

Laboratory
-Blood gas test Oxygen & Carbon Dioxide
-Blood test complete blood count

Treatment
-PO meds in mouth
-Discharge

Patient 017
Case: Painful to look at light

S.O.A.P. Questions

S: 2nd and 2nd choices
O: 1st and 2nd choices
A: 3rd choice
P: 4th and 1st choice

Examination room
-Magnifying glass, othalmoscope, penlight and eyedrops on right eye

Treatment
-Irrigation syringe and drops on right eye
-Discharge

Patient 018
Case: Stabbed in side

S.O.A.P. Questions

S: 1st and 3rd choices
O: 2nd and 2nd choices
A: 3rd choice
P: 4th and 1st choice

Examination room
-Magnifying glass and glove on abdomen
-Sphygmomanometer on upper arm
-Respirometer in mouth
-Stethoscope on heart and abdomen

Treatment
-IV and IV med in forearm
-Nasal prongs in nose
-Transfer to trauma unit

Patient 019
Case: Sore throat, fever

S.O.A.P. Questions

S: 2nd and 2nd choice
O: 3rd and 1st choice
A: 4th choice
P: 1st and 1st choice

Examination room
-Stethoscope and glove on abdomen
-Glove on chin/neck
-Tongue depressor and thermometer in mouth

Laboratory
-Blood test complete blood count

Treatment
-Discharge
-Hospital orders
	-Patient advised some antibiotics may cause rash
	-Patient advised that no specific medication is available

Patient 020
Case: Splinter in palm

S.O.A.P. Questions

S: 2nd and 1st choices
O: 1st and 2nd choices
A: 4th choice
P: 4th and 1st choices

Examination room
-Magnifying glass and glove on left hand

Treatment
-PO meds in mouth (1st)
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
bandage on left hand
-Discharge
-Hospital orders
	-Elevate area

Patient 021
Case: Stabbed in arm

S.O.A.P. Questions

S: 1st and 2nd choices
O: 2nd and 2nd choices
A: 4th choice
P: 2nd and 1st choice

Examination room
-Magnifying glass and glove on right forearm

Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th),
gauze (5th), topical med (6th) and bandage (7th) on left arm
-Discharge

Patient 022
Case: Inflamed throat, fever

S.O.A.P. Questions

S: 2nd and 3rd choices
O: 4th and 4th choices
A: 1st choice
P: 2nd and 1st choice

Examination room
-Thermometer, tongue depressor and magnifying glass in mouth
-Glove on chin/neck

Laboratory
-Swab culture throat/quick in mouth

Treatment

-PO meds in mouth
-Discharge
-Hospital orders
	-Warm salt water gargle administered
	-Anesthetic swallow administered

Patient 023
Case: Sore throat, swollen glands

S.O.A.P. Questions

S: 1st and 1st choices
O: 2nd and 4th choices
A: 3rd choice
P: 3rd and 1st choices

Examination room
-Tongue depressor, thermometer and magnifying glass in mouth
-Glove on chin/neck

Treatment
-PO meds to mouth (1st)
-Compress to left and right cheek (2nd and 3rd)
-Discharge
-Hopsital orders
	-Warm salt water gargle administered

Patient 024
Case: Rash

S.O.A.P. Questions

S: 4th and 2nd choices
O: 2nd and 2nd choices
A: 4th choice
P: 3rd and 1st choices

Examination room
-Magnify mouth and nose
-Tongue depressor in mouth

Treatment
-PO meds (1st), sponge (2nd) and topical med (3rd) to mouth
-Discharge

Patient 025
Case: Fell from skateboard, hurt elbow

S.O.A.P. Questions

S: 1st and 1st choices
O: 2nd and 3rd choices
A: 2nd choice
P: 2nd and 3rd choices

Examination room
-Magnifying glass and glove on left elbow

Imaging room
-X-ray left elbow

Laboratory
-Urine test microbiology, microchemistry and microbiolgy on pelvis
-Blood test type, hemoglobin/hematocrit and complete on elbow

Treatment
-Compress on left elbow
-Call in orthopedist to continue care and admit
-Hospital orders
	-Extremity elevated
	-Elbow immobilized

Patient 026
Case: Hurt shoulder playing football

S.O.A.P. Questions

S: 2nd and 1st choices
O: 3rd and 3rd choices
A: 3rd choice
P: 2nd and 3rd choices

Examination room
-Magnifying glass and glove on right shoulder

Imaging room
-X-ray on right shoulder

Laboratory
-Blood test complete blood count, hemoglobin/hematocrit and type and cross on
elbow
-Urine test microbiology, microchemistry and microcytology on pelvis

Treatment
-Compress on right shoulder
-Call in orthopedist to continue care and admit
-Hospital orders
	-Shoulder immobilized

Patient 027
Case: Scraped side

S.O.A.P. Questions

S: 2nd and 3rd choices
O: 2nd and 4th choices
A: 4th choice
P: 4th and 1st choices

Examination room
-Magnify left flank
-Glove on abdomen, left flank and chest
-Stethoscope on heart

Laboratory
-Urine test dipstick on pelvis

Treatment
-Sponge (1st), topical med (2nd) and bandage (3rd) on left flank
-Med Syringe on upper arm
-Discharge

Patient 028
Case: Fell on sprinkler

S.O.A.P. Questions

S: 4th and 4th choice
O: 4th and 2nd choice
A: 1st choice
P: 2nd and 1st choice

Examination room
-Magnifying glass, glove, penlight and eye dye on right eye
-Glove on chin/neck

Treatment
-Sponge (1st), forceps (2nd), topical med (3rd) and bandage (4th) on right eye
-Med syringe (5th) on upper arm
-Discharge

Patient 029
Case: Cut chin in car accident

S.O.A.P. Questions

S: 3rd and 3rd choices
O: 3rd and 2nd choices
A: 2nd choice
P: 1st and 2nd choice

Examination room
-Maginfying glass and glove on chin/neck
-Glove and tongue depressor in mouth

Treatment
-Sponge (1st), forceps (2nd) and bandage (3rd) on chin
-Med syringe on upper arm
-Call plastic surgeon to continue treatment

Patient 054
Case: Hurts when urinating, fever

S.O.A.P. Questions

S: 2nd and 1st choices
O: 2nd and 3rd choices
A: 4th choice
P: 3rd and 3rd choices

Examination room
-Glove on pelvis and right flank
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Thermometer in mouth

Imaging room
-Ultrasound on pelvis

Laboratory
-Blood test complete blood count and kidney panel on elbow
-Urine test microbiolgy and microcytology on pelvis

Treatment
-IV and IV med to forearm
-PO meds to mouth
-Call in nephrologist to continue care and admit

Patient 070
Case: Slipped and hurt hip

S.O.A.P. Questions

S: 3rd and 1st choices
O: 3rd and 1st choices
A: 3rd choice
P: 4th and 3rd choice

Examination room
-Magnifying glass and glove on right hip
-Glove on right knee

Imaging room
-X-ray pelvis

Laboratory
-Blood test type and cross on elbow
-Urine test microbiology, microchemistry and microcytology on pelvis

Treatment
-EKG on heart
-IV (1st) and IV med (2nd) on forearm
-Call in orthopedist to continue care and admit
-Hospital orders
	-Patient advised to take nothing by mouth
	-Neuro-vascularity intact