SOLVED385

JOURI’S HORSE-RIDING ACCIDENT Consider the person – Acute Phase On a mild, sunny November afternoon, 23-year-old Jouri Khatib was enjoying a horse ride in the Tasmanian hills around Deloraine. Suddenly, her horse got spooked by a snake and bucked, causing Jouri to lose her balance and fall off. She landed awkwardly on her back, and immediately felt a sharp pain in her upper back. Her friend Maya, who was watching from a distance, rushed to her side. Seeing Jouri in pain and unable to move, Maya quickly dialed the emergency number to call for paramedics. The paramedics arrived about 1h later and performed the patient assessment: Collect cues Paramedics Neurological assessment: GCS: eye opening – spontaneous; verbal – oriented although drowsy; motor – can obey commands (blinking eyes, poking tongue out); some recall of the accident Pupillary assessment: PERRLA (pupils equal, round, and reactive to light and accommodation) Motor function: unable to move legs or thorax Sensation: reporting no sensation below the armpits, including thorax, abdomen and legs. Normal sensation in arms, neck, face and head Deep tendon reflexes: normal biceps and triceps reflex. Minimal quadriceps (knee jerk) and gastrocnemius (Achilles tendon) reflexes Vital signs: RR: 28 bpm, abdominal expansion
SCIENCE
HEALTH SCIENCE
NURSING

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