Project #2 It is 7:10pm. You are working the evening shift at a community pharmacy. Things have been pretty slow since about 6:30 which is no surprise to surprise to you. You know that most of the town is across the street in the high school gym watching the Jones County High School Jets in a regional basket ball playoff game.

Just as you are about to audit your control drugs (yes, it is that slow tonight) a panicked man comes in and says…

“Quick, call 911. There was an explosion at the high school. Some kind of bomb, I think. One of the bleachers collapsed & a fire has started. I was barely able to get out. Many people are still trapped and those who did get out are injured. Please hurry!”

You call 911 and they ask you to begin triaging the patients until help can arrive (They know that as a pharmacist you would be an excellent choice for this due to your mass casualty training). You agree and head across the street & these are the people you see…

1) 26 year old male with smoke inhalation, confusion, and minor facial burns

2) 43 year old male vomiting blood and severe facial and torso burns

3) 16 year old female with vomiting, nystagmus, and facial burns

4) 3 year old male with severe leg and facial burns

5) 52 year old female with anxiety and smoke inhalation resulting in shortness of breath

6) 15 year old female with minor arm burn, smoke inhalation, bumps and bruises from fall off of bleachers

7) 12 year old female with confusion and bruised left arm

8) 18 year old male with smoke inhalation, nystagmus, and confusion

9) 17 year old female with confusion, facial burn, and smoke inhalation

10) 12 year old male with severe torso burn, lacerations to extremities, and shortness of breath

11) 8 year old male facial burn, severe torso burn, and broken wrist

12) 22 year old female simple leg fracture, minor arm burn and laceration

13) 27 year old male confusion, vomiting, and unsteady gait. He smells of alcohol.

14) 43 year old female laceration to left arm and smoke inhalation

15) 62 year old male shortness of breath and anxiety

16) 55 year old male with a concussion (without LOC), minor leg burn, and bumps and bruises from being trampled during exit

17) 11 year old female burns and laceration to head and neck

18) 16 year old male anxiety and shortness of breath

19) 15 year old female unconscious

20) 18 year old male smoke inhalation and concussion (without LOC)

21) 17 year old male laceration to face with imbedded debris in eyes

22) 16 year old female confusion, unsteady gait, and nausea- no signs of trauma yet strong aroma of vodka.

23) 14 year old male minor leg burn and smoke inhalation

24) 32 year old female severe burn to left arm and compound fracture of right arm

25) 28 year old male minor torso burn, left ankle is red and swollen

26) 57 year old male chest pain, shortness of breath, reports history of angina

27) 12 year old female facial burns and unconscious (weak, irregular pulse)

28) 22 year old male with confusion, imbedded debris in arm and shoulder

29) 18 year old female severe right leg burn, swollen bruised forehead

30) 15 year old male anxiety, dislocated shoulder, and shortness of breath from smoke inhalation

31) 7 year old male with gushing lacerations on arms and face with imbedded debris

32) 14 year old female severe burns to about 80% of body

33) 13 year old male weak pulse and shortness of breath with LOC

34) 18 year old female excessively bleeding head wound and burns to right leg and torso

35) 16 year old male with minor scrapes to left calf

36) 4 year old male rapid pulse and shallow breathing

37) 19 year old female anxiety, bumps and bruises to arms and legs

38) 48 year old male with smoke inhalation and confusion

39) 17 year old female with confusion, facial burn, and smoke inhalation

40) 2 year old male with severe torso burn, lacerations to extremities, and shortness of breath

41) 8 year old female with facial burn, severe torso burn, and broken wrist

42) 22 year old female with simple leg fracture, minor arm burn and laceration

43) 57 year old female with confusion, vomiting, and unsteady gait

44) 13 year old male with laceration to left arm and smoke inhalation

45) 18 year old male with vomiting, facial burns, and smoke inhalation

46) 26 year old male with severe burns to legs, bumps and bruises from being trampled

47) 23 year old pregnant female with anxiety (she was at the concession stand outside the gym when the bomb went off) she has no signs of preterm labor.

48) 66 year old female with shortness of breath and chest pain

49) 43 year old male with burns to ~85% of body and has a weak pulse

50) 3 year old male with severe leg and facial burns

51) 52 year old female with anxiety and smoke inhalation resulting in shortness of breath

52) 15 year old male with minor arm burn, smoke inhalation, bumps and bruises from fall off of bleachers

53) 12 year old female with confusion, lethargy (but still conscious) and compound left arm fracture

54) 9 year old female with severe burns to arms and legs and a charbroiled behind

55) 16 year old female with vomiting of blood, nystagmus, and facial burns

56) 17 year old male with minor lacerations and minor burns to arms and hands

57) 47 year old male unconscious with weak pulse

58) 32 year old female severe shortness of breath from prolonged smoke inhalation while looking for her son in building

59) 18 year old male with bruise to shoulder and thigh

60) 37 year old male anxiety over missing son who is the starter for the Jones County High School Jets and smoke inhalation from helping others out of the building