Alaska Fly-Fishing Expedition: Case Study Essay

Jane was involved in a single-vehicle accident that resulted in multiple areas of injury from a head trauma, two broken ribs as well as bilateral fractures in her leg’s as well as right arm and wrist fracture. Jane was, transported a hospital that was an hour and half away from her home.

This assignment will present a reflective analysis of the examination, diagnosis, treatment and referral plan based on a simulated patient presenting with a minor injury. Potential diagnoses related to the mechanism of injury will discussed aligning the patient presentation with the literature to produce the most likely diagnosis. When this is established, a suggested treatment plan will be created in line with current guidance.

severe injuries or (in some cases) death. Preventing a health crisis is simpler when using

The area of focus is that of inmates. It is a population that has not received a lot of scientific studying in past years but it is a population that has been steadily growing. This is also a population that seems to be the most at-risk for having such an injury. The subpopulation of inmate does not

not enough of the lifeboats. If there would have been enough lifeboats, many lives could have

Any injury that results in a person being admitted to hospital for more than 24 hours.

Fractures to the ribs or the leg bones in babies. Multiple fractures or breaks at different stages of healing.

20. A patient was in an automobile accident and is complaining of a minor headache and no other apparent injuries. History gathered from bystanders states that the patient was not wearing a seat belt and hit his head on the windshield. A 15-minute loss of consciousness was noted. The patient was then admitted for 24-hour observation to rule out head injury. A comprehensive history and exam are performed by the physician. The MDM is of moderate complexity.

 This can be defined as a physical injury which has been caused by actual bodily

sprains, dislocations, and internal injuries/bleeding broken eyeglasses/frames, physical signs of being subjected to punishment, and signs of being restrained

Any incident in which a line designated for oxygen or other gas to be delivered to a patient contains the wrong gas or is contaminated with toxic substances.

The applicant has also alleged an injury to his neck, left upper extremity and left lower extremity. These claims have been denied.

The release of the hazardous material or exposure to the fire that ensues results in

Somebody could fall and hurt him or herself badly and have to go into hospital

According to Vickery (2001) however, the spinal board is considered to be the gold standard for spinal immobilisation during the pre-hospital phase of trauma management. For some patients, effective spinal immobilisation is beneficial and can also be vital in preventing the devastating effects of cord damage however it has been suggested that for many the excessive use of this preventative measure may not be prudent or necessary. It has been estimated that over 50% of trauma patients with no complaint of neck or back pain were transported with full spinal immobilisation (McHugh & Taylor 1998). Inappropriate spinal immobilisation may lead to patients experiencing unnecessary pain, skin ulceration, aspiration and respiratory compromise, which in turn may lead to further unnecessary procedures, a longer hospital stay which then incurs increasing costs to the National Health Service (Kwan, Bunn & Roberts, 2001). Shooman & Rushambuza (2009) report that immobilisation is a crucial part of the management of a trauma patient. They believe that if the mechanism of injury is uncertain, the patient should remain immobilised until further imaging even if there are no symptoms of spinal instability after log rolling. However, in a recent study by Pandie, Shepherd & Lamont (2010) they concluded that on its own, standard