A 34-year-old man found unresponsive with pinpoint pupils and a respiratory rate of 6
A branching clinical case simulation for a patient presenting with found unresponsive with pinpoint pupils and respiratory rate of 6. Take a history, examine, investigate, diagnose and treat while the patient responds to every decision, then see the score by clinical domain with the reasoning for each mark.
Year 3easy20 min6 stages
- Patient
- 34 years, male
- Presenting complaint
- Found unresponsive with pinpoint pupils and respiratory rate of 6
- Decision stages
- Treatment, Monitoring, History, Investigations
The presentation
You are a Year 3 medical student on placement in a district general hospital emergency department. A 34-year-old man, Daniel Walker, is brought in by ambulance. His flatmate found him unresponsive on the floor with a small box of tablets nearby. On arrival, he is unresponsive, pin-point pupils, and his respiratory rate is 6 breaths per minute. This is your first encounter. You have a registrar available if you call.
What this case teaches
Support the airway and breathing first; titrate naloxone; anticipate re-sedation from long-acting opioids; consider co-ingestants and safeguarding.
How the case unfolds
- 1First response in resusTreatment
- 2Naloxone administrationTreatment
- 3Re-sedation and long-acting opioidsMonitoring
- 4Collateral history and co-ingestantsHistory
- 5Investigations for co-ingestantsInvestigations
- 6Disposition and safeguardingTreatment
The decisions available at each stage, and what each one costs or earns, appear when you run the case.
Log in to run "A 34-year-old man found unresponsive with pinpoint pupils and a respiratory rate of 6"
A free account opens the simulator: the patient's observations move with your decisions, and every choice is scored and explained.
Taught in
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.