Clinical Scenario

Introduction from our patients sister: D was a much-loved brother, son and uncle, central to our familys life.  He had a great sense of mischief, an encyclopaedic knowledge of Power Rangers, and a beautiful smile.  D inspired me to become a doctor because I saw how difficult it was for him to access healthcare.

Clinical Scenario 

D is a 40-year-old man who lives alone with his father, with support from close family. He has a learning disability, is autistic, and is not able to speak but communicates using an electronic communication device and Makaton.  He has oromotor dyspraxia with difficulties with chewing and swallowing. 5 years ago he had a prolonged stay in ICU with aspiration pneumonia after dental treatment and he now uses a wheelchair.  He is registered blind. He finds any healthcare interaction very anxiety-provoking  and distressing. 

Pre-Hospital

D is found with reduced consciousness at home, next to the body of his father, by his sister. Their father has been dead a number of days. D is described by ambulance staff as weak but alive. 

For those of you who have a pre-hospital role, how would you proceed at this point?

D is found with reduced consciousness at home, next to the body of his father, by his sister. Their father has been dead a number of days. D is described by ambulance staff as weak but alive. For those of you who have a pre-hospital role, how would you proceed at this point?