Primary Survey Case Study

One factor that makes it difficult to determine the extent of drug use is the people who are addicted to prescription drugs will not admit that they have a problem. These people may not be counted as drug users in a survey.

Through basic observations, health professionals are able to evaluate the performance of an individual’s health status. In relation to Casey, it is noted in her Observation Chart that in the time span of two hours the patient’s health status had changed from being relatively normal (to the patient) to an increased respiratory rate, heart rate and temperature as well as a decrease in blood pressure. It is also noted that the patient has a score of 8 in the pain scale (compared to the score of zero two hours previously), relating to the lower abdomen. Programs such as Between the Flags acknowledges the fact that the early recognition of deterioration of patients can reduce harm to patients through designing and implementing systems which provide a structural response in the event of a deteriorating patient, such as Rapid Response and Clinical Review. There are two phases involved in the rapid response, which includes the afferent phase and the efferent phase. The afferent phase focuses on the overall monitoring and recognising the deteriorating patient whereas

Another important intervention was to maintain the head of the bed at 30-45 degrees and position L.M.’s left lung into a dependent position to improve ventilation and perfusion. L.M.’s O2 was decreased to 63 and her CO2 was increased to 50. According to the IHI, it is recommended to elevate the bed to 30- 45 degrees to improve ventilation. Patients that lay in the supine position have lower spontaneous tidal volumes on pressure support ventilation compared to those laying at more of an angle (Institute for Healthcare Improvement, 2012). In regards to positioning, when the least damaged portion of the lung is placed in a dependent position it receives preferential blood flow. This redistribution of blood flow helps match ventilation and perfusion, therefore, improving gas exchange (Lough, Stacy & Urden, 2010). Implementing these interventions combined with respiratory therapy, significantly improved the blood gas values for oxygen and carbon dioxide levels.

After assessing the victim?s airway, now you should check for breathing. To check for breathing, place your ear over the mouth looking toward the chest. This will allow you to listen for air movement, feel for air movement on your cheek, and look for chest rise. If the victim is breathing adequately, you should roll him or her on their left side. By doing so this puts them in the recovery position and permits him or her to breathe adequately. This also prevents aspiration if the victim vomits. If the victim is not breathing, give two breathes, watching for chest rise. Give breathes over a second, wait a second, then give another breathe. While doing so, you should not hyperventilate the victim.

Both rapid, shallow breathing patterns and hypoventilation effect gas exchange. Arterial blood gases will be monitored and changes discussed with provider. Alteration in PaCO2 and PaO2 levels are signs of respiratory failure. Patient’s body position will be properly aligned for optimum respiratory excursion, this promotes lung expansion and improved air exchange. Patient will be suctioned as needed to clear secretions and maintain patent airways. The expected outcome is that the patient’s airway and gas exchange will be maintained as evidence by normal arterial blood gases (Herdman,

One of the most important things to maintain a trauma patients airway is ensuring that you have adequate help around (Stephens, 2011). This is important because there are many different tasks that must be delegated in maintaining this persons airway. Some of these processes include opening the airway, suctioning the airway, inserting the proper adjunct, and maintaining

According to the 56 resident post-Target surveys, 100% of the residents rated their current understanding of : 1) what their medication(s) are used for, 2) how to take their medication(s), 3) how to store their medication(s) and 4) how to dispose of their medication(s) as good or very good at the conclusion of the TARGET program. Ninety-three percent of the residents at the end of the program, rated their current understanding of what side effects to watch for when taking their medication(s) as good or very good; a 55% increase from the pre-Target survey. Eighty-seven percent of the residents at the conclusion of the program, rated their current understanding of how to monitor how well their medication(s) are working as good or very good; a

Secondly, Steve’s alibi has no strength to it. He states that he was in his neighborhood taking mental notes for a school project during the time of the crime. There is not a single person that is able to back up his claim. It is impossible for anyone to know whether this statement is indeed true or not. Cruz, King, and Evans all three state that Steve took part and was at the scene of the crime shortly before the time of the

Steve let his grip slip on the suspect and fired into the pitch-black night where he expected the suspect to be. The muzzle flash dazzled him but gave Steve a point of reference, locating the suspect. He fired seven more times. Without any light, Steve climbed back up the embankment where his cover unit met him moments later. They found the suspect dead.”(Hanton)

patient is evaluated to see if they are at risk for falls based on a questionnaire. Actions to

A major component of the care Paramedics provide is the assessment of a patient’s physical status, which is the ground for any further treatment. The assessment method that an Advanced Care Paramedic follows is a systematic assessment referred to as the Primary Survey. The aim of this fundamental assessment is to give an initial diagnosis of the patient as well as identifying any imminent threats to the patient. This assessment is used so that a Paramedic can decide how to treat the patient while staying within the boundaries of their scope of practice. Throughout this essay the concept of a primary survey within the scope of practice of an Advanced Care Paramedic will be understood. Additionally

After completing a primary survey an patient with a high mechanism of injury, index of suspicion or abnormal findings of the primary assessment a rapid secondary assessment must be performed. This is done by exposing the patient or removing the clothing making the patient “trauma naked” and inspecting and palpating the patient in a head to toe order paying close attention to areas where major injuries were obtained and where the mechanism noted would suggest there should be

patient was not having any pain or significant discomfort in the area. The throat was

and worked within a multidisciplinary team (ACORN Competency 9). In my rapid assessment of the patient I met Competency 4: Conducts a perioperative nursing assessment of the patient (ACORN 2014). Bevan (2012) supports my diagnoses, saying that partial airway obstruction such as this is characterised by noisy breathing or a crowing noise. Pritchard (2009) supports my actions stating that once any degree of obstruction occurs measures must be swiftly taken to create and maintain a clear airway. Bevan (2012) describes airway management as the cornerstone of effective postoperative care in the PACU. In accordance with Competency 2 (ACORN 2004) I considered it ethically right for me to take over the management of the airway as I had more experience

In order to make sure that the victims airway is open,place your hand on the victims forehead and two fingers on their chin and tilt the head back slightly to open the airway.Look, listen, and feel for breathing. Get close enough to the victims face to listen if victim can breath by putting you ear close to the victims mouth. At the same time ,look if victims chest is rising up.Do that for ten seconds.If you do not feel the victims breath, or cannot see the chest rising after ten seconds, continue to the next step.