Paramedic Case Studies

When examining a patient, they may have questions about different aspects of their body. It is the Medical Assistant’s responsibility to be thoroughly educated on the human anatomy and its functions – the nervous system being one of them. Educating the patient is a critical aspect of the Medical Assistant’s role during an examination.

Critical Care Medicine Physicians (Intensivists) diagnose and treat a wide variety of clinical problems representing the extremes of human illness (American College of Physicians, 2017). This coordinated care is provided to critically ill and injured patients. This care is also needed for post-operative care of cardiac, vascular, and neurosurgical patients. By the year 2020 there is a predicted shortage of 1500 Critical Care Physicians (Croasdale, 2006). The Intensivist to patient ratio is complex but is recommended to be around 1-to-15 (Ward et al, 2013). ICU care is expensive to provide. In the Unites States there are approximately 20 ICU Beds per 100,000 population (Murthy & Wunsch, 2012). The service must provide an appropriate number of

My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to

Approximate 1414 Soc received a call from Deb Pyle (Nurse) about a Young female feeling Cold, Dizzy, Pale & Heart rate increased. Nurse Pyle requested Paramedics on site. 1416 Paramedics was called by security officer Satinder Singh. 1420 Supervisor Marques Diaz sent MERT E-mail to the MERT TEAM about the Medical Assistance. 1423 Paramedics arrived on site to treat the young female. 1425 Fire Department arrived on site to attend to the female. 1438 Paramedics took the female (Kristina Milkovic) to Santa Clara Kaiser to be check for increased heart rate, dizziness, feeling cold, pale, shakiness.

These findings could change my practice as a Paramedic because it helped to gain knowledge into how a semi-rigid collar worked, what it was for and the damage this collar could have been doing to the patient. The findings also helped me understand that having a cervical collar in place could risk the patient’s life due the difficulties of being able to properly intubate the

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

Kathy is a professional candidate with a background working with medical insurance billing. Her most recent position was with IU Methodist Hospital as a Release of Information Specialist. In this role, she would prep patient’s information to be sent out, answered inbound and outbound calls, and transmitted records in a timely manner. Her time came to an end when they started to eliminate many different positions. They did gave them a warning before hand and possible end dates. Previously, she had worked a temporary position for JWM Neurology as a Medical Records Specialist. She would schedule appointments, process patient’s information, review medical bills, and responded to requests for medical records. Prior to this, she worked for Select

You found the data report the state sent out as part of the pilot confusing. The report painted a skewed picture as there were data elements you were not able to enter. There are also lack of clear definitions of the indicators to be reported upon. For example, scene time, should it only include the time from ambulance arrival to ambulance departure, or should it also include the time when an EMT responds directly to scene.

The patient is an 81-year-old female who was brought to the ER there this morning while trying to make her bed she felt a little bit dizzy. She felt like the room was spinning and she knew she was going to go down. The next day she remembers is that she saw some blood on the right side of her eye she was on the floor she activated her alarm and the EMS actually had to climb thru a window to get her. The patient denies any palpitations prior the episode or any prior episodes of passing out the past. In the ER she was having a glucose level of 47. She has is quite significant history, she had a laminectomy done in February 2015, was discharged to rehabilitation where she had some problems with difficulty breathing and ended up in Saint Barnabas

As seen in this case study, TM was listed as a full code and no GOC conversation was had between the physicians and the patient until the day of his discharge to home. This led to an unnecessary swallowing study in which the patient needed to be uncomfortably scoped. Due to the lack of GOC conversation the patient also chose to go home with general nursing services instead of end-of-life (EOL) hospice support. In the inpatient medical oncology floors of a large teaching hospital like this one, most patients are covered by rotating interns and residents that are not comfortable having GOC conversations with patients and leave it up to the primary physician to come and discuss.

On 11/29, Barbara visited Dr. Arvram for her monthly B12 injection and check up. She was examined by her PCP and consulted about the ER visit. Staff explained no near fainting episodes were observed since the ER visit. Her PCP stated she looked fine and ordered blood work to check her cholesterol and other levels as she was due for another lab test. Her lab results came back normal. Her monthly B12 injection was scheduled for first week of January.

SW was paged at son Dean's request by Pt's nurse April Tucker, RN. Pt was in be and Pt's granddaughter and son Dean were present in the room. Pt appeared brighter today and reported she was feeling o.k. Pt reported Dr. Reda, Neurologist came in yesterday and ordered more tests. Pt. Reported she is still going to get better, and no one can tell her different. Pt reported she is not going to begin her medications again because she took the medications Dr. Reda ordered and she became weaker and is now in the hospital. I asked Pt. If she felt it was a coincidence that her physical decline occured when she began taking the medication, and Pt. Reported "I was not coincidence, it made me not be able to walk."

Well, I don’t know how traditional government would rule this case, but I know that modern government would agree with the judge's decision based on the fact that the child's is in need of urgent medical care. As for my own opinion, I think the final decision should base on the child herself if she wants to get treatment or not. However, at the age of 12 she is still too young to make her own decision at this point, although her parent cannot refuse treatment due to their religious reason and also because the child cannot decide for herself. I agree with the judge's decision because it’s just the right thing to do. We cannot sit and watch a child in pain of a medical condition when we can give her the proper treatment but refused because

It started off as a typical day in the emergency department. A code that just finished in room 1, a broken arm in room 8, abdominal pain in room 10, and it was my turn to take a new patient in room 12. She was brought back from triage with stable vital signs and the only complaint of slurred speech that happened on and off. When Mrs. S came into the room, her and her husband stated that she was acting completely normal. She stated she felt fine and was embarrassed that she came to the emergency department. She stated that she was doing chores on the farm up until around noon. She states at that time she bent over and immediately felt dizzy and sick. She told her husband that she was going to go lay down due to the sudden onset. I continued with my assessment and her

On scene vitals were check in office, P/t BP was in normal range 124/88, but pulse was 112 (strong and rapid). P/t said she does not partake in any forms of illegal substances or alcohol products. P/t was told five times that it would be in her best interest if she go to the hospital to get checked out. P/t said she will scheldule an appointment with a doctor's office in the morning