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Arrival at the scene and taking a history from mum

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Hello, sorry to have called you. She’s not been right for a while and now she’s saying that she’s in agony. Hello. Is it Chloe? Yes. My name is Jordan. This is Cameron. How can we help you today? I’ve got bad tummy pains. Okay. Are you Mum, sorry? Yes. Shall we go outside for a little chat? Is that alright? Yes, of course.
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So, Mum, tell me what’s been going on? I’ll be honest, she’s been not right for a while, she’s been in and out of hospital, she’s seen the GP. She was writhing around in agony before and there’s just something not right. I’m not quite sure what it is. Ok, so what’s specifically going on? Is it abdominal pain? She’s saying she’s in agony in her tummy. Ok and how often does this pain come on? Is it all the time? Or does it come and go? It comes and goes. She’s saying that there’s pain there all the time and then she’s actually writhing around in agony one minute and then she seems fine the next.
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So when was the last time you spoke to the doctor about this or the last time you were in hospital? We went a week ago. And what did they say? I thought she had appendicitis or something. Ok and she was examined and discharged fine? Yes. Are there any specific times this gets worse at all? Well it’s come on again this morning. In the mornings or the evenings? It does seem to be worse in the mornings and then as and when she comes home from school sometimes she goes and lies down for an hour, again in pain. Ok does anything else happen when she gets this pain? Does she vomit?
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No she’s got a bit of a temperature occasionally Ok so we don’t really have a specific diagnosis from anybody at all at the moment? No, nobody seems to give me any answers. Ok we’ll have a good look inside and then we’ll have another chat and see where we go from there.

In this short clip we can see the paramedics arrive at the scene, meet Chloe and have a quick chat with mum, Rachael.

  • What are the initial priorities for the crew at this stage?
  • In the brief meeting with Chloe, what are your initial impressions?

Discuss below.

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Emergency and Urgent Care for Children: a Survival Guide

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