Paramedic Queensland Case Study 1: Motor Vehicle Accident Dispatch informs you at 1600 hours of a ma. Question
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Asked by Roastpotatoes
Paramedic Queensland
Case Study 1: Motor Vehicle Accident Dispatch informs you at 1600 hours of a male patient who has been involved in a single motor vehicle accident. Communication from dispatch states that the patient has suffered multiple injuries but is conscious and alert. The patient is located on a country back road with minimal traffic, but police are on the way for scene safety. On arrival at the scene, you identify that the police are on scene managing any potential traffic related risks or dangers to ensure scene safety. The patient is lying on the ground next to the vehicle, bleeding profusely from a head wound. He is holding his shoulder, groaning, and appears to be in significant pain. On assessment you determine the patient is a 65-year-old male, Trent Turner. He informs you that he was driving when, for no apparent reason that he could identify, he just left the road and hit a large tree. You identify that Trent also has a fracture to his right shoulder, a swollen and distorted left ankle and is experiencing numbness in his right fingers and wrist. Trent starts to show signs of shock; he is pale, has clammy skin, below range BP, presenting with rapid breathing and pulse rate, and his pupils are somewhat dilated. The weather is warm, currently 32-degrees and the environment does not indicate any apparent hazard or cause for the accident. Trent is having difficulty answering any additional questions and is presenting as confused. He is a smoker.
1. Identify the most likely cause for Trent’s accident. You can list more than one cause.
2. List four (4) potential complications of Trent’s injuries.
3. Explain the pre-planning you would need to consider based on the information dispatch provided.
Further information: Treatment applied for Trent’s injuries include: vacuum splint applied to left ankle, wounds cleaned and dressed, bleeding controlled.
4. Which injury would you prioritise based on the information above and how would you treat it?
5. A helicopter crew has been called due to time criticality. Provide a patient handover IMISTAMBO format as if you were communicating with the helicopter rescue crew.
6.Outline the reporting and documentation requirements for this patient
7. Identify the pathophysiology and Mechanism of Injury (MOI) based on the above information.
• Pathophysiology
• Mechanism of Injury (MOI)
Case Study 2: Infant Croup Dispatch informs you at 1800 hours of a mother who has called requesting urgent help for her 8-month-old infant Bella, who is having trouble breathing and is starting to go blue. On arrival at the scene, you undertake a preliminary scene assessment and evaluate the mechanism of injury. The mother, Emily, is panicked and hands you the infant begging ‘please help my baby, I think she’s dying!’. Emily is clearly distraught and frantic. Your initial observation identifies the infant is coughing copiously and appears to be unable to ‘catch her breath’, she is cyanosed. You manage to gain information from Emily who states that Bella has been unwell for two (2) days and was reviewed by their local GP in the late afternoon the day before. On assessment, your observations indicate that the baby is in respiratory distress, and you suspect she is suffering from croup-like symptoms.
1.What is the most likely cause for Bella’s decline?
2. Identify three (3) potential complications of Bella’s condition.
3. Identify the pathophysiology and Mechanism of Injury (MOI) based on the above information.
• Pathophysiology
• Mechanism of Injury (MOI)
4. Explain the pre-planning you would need to consider based on the information dispatch provided.
5. Explain how you could support Emily in this situation to calm her down.
6. Identify the time criticality for getting treatment to Bella. Would you require any backup or other resources in this situation?
7.Outline the reporting and documentation requirements for this patient.
Case Study 3: Childbirth You are responding to an emergency scene at a nearby shopping mall, where dispatch has informed you of a pregnant woman who has fallen and gone into premature labour. Her name is Angie. She is 26 years old and is 38-weeks’ gestation. On arrival, she is bearing down and it appears she is ready to birth the baby. There is no time to waste, your partner calls for immediate back up and you must assist with the delivery of the baby. After 15 minutes Angie delivers the baby. Angie appears to be in a stable condition; however, the infant is not crying as lustily as you would expect a newborn to cry. The newborn quickly stops breathing independently and goes limp in your arms. You immediately assess the newborn’s tone, breathing and heart rate.
1. Identify the most likely cause for the infant’s decline.
2.Identify four (4) potential complications of the infant’s condition.
3. Identify the pathophysiology and Mechanism of Injury (MOI) based on the above information.
• Pathophysiology
• Mechanism of Injury (MOI)
4. Outline the pre-planning you would need to consider based on the information dispatch provided.
5. Identify the emergency care procedures you would need to apply in this situation as per your clinical practice guidelines
6. Identify the time critical treatment for the infant.
7.Outline the reporting and documentation requirements for this patient.
SCIENCE
HEALTH SCIENCE
NURSING
HEALTH 1000
Paramedic Queensland Case Study 1: Motor Vehicle Accident Dispatch informs you at 1600 hours of a ma
