S. EMT Perez Case Summary

S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%

There are some many political, economic, social issues that social workers and even families faces. In the Sanchez case, immigration laws plays a huge part in their family. There are members of the Sanchez family that are undocumented and could face deportation if caught. The family needs immigration resources that will assist them with the adoption of the grandson and with Roberto in their home. Emilia, which is the daughter of Hector and Celia, was born in the United States. However, she could be denied citizenship because of her drug problem. This will show “poor moral character” which is under the immigration law (New Directions in Social Work, n.d.). Also, the Sanchez family faces financial problems. Due to undocumented status of some of members, the Sanchez family cannot take advantage of the resources that may help them with their financial problems. Roberto, which is the undocumented nephew of Celia, was injured on the job and because of his status is unable to receive any financial assistance like worker’s compensation. This cause financial issues for the household. Social issues has also plaque this family. Emilia has had an abortion which is against the belief of the family. They are devout Catholics and do not believe in abortions. Vicki, which is the daughter of Celia and Hector, has been diagnosed autism. The family has not seek out resources for the daughter. I believe the family may be ashamed of her and is not

Patient complained she was short of breath and experiencing severe pain between her shoulder blades. She stated that she has been feeling nasuseated for the past 3 hours. She states she has a history of stable angina and is currently taking medication as needed. She states she did not take the nitroglycerin because she was not experiencing chest pain, just back pain. She states that her last check-up with the Pulmonologist showed that her EKG did not show any changes since her last visit. She denies episodes of syncope. The patient does report that she tripped over something on the floor, which resulted in her falling and hitting her back on a large table. In addition, she states that her heart rate has been ranging from 130/ 90 to 140/92. Patient states her Primary care physician placed her on blood pressure medication 2 months ago due to the increase.

In transport, patient received O2 at 4 liters via nasal cannula, baseline EKG, Normal Saline IV started in left hand, 325 mg aspirin by mouth (po). Patient complained she was short of breath and experiencing severe pain between her shoulder blades. She stated that she has been feeling nasuseated for the past 3 hours. She states she has a history of stable angina and is currently taking medication as needed. She states she did not take the nitroglycerin because she was not experiencing chest pain, just back pain. She states that her last check-up with the Pulmonologist showed that her EKG did not show any changes since her last visit. She denies episodes of syncope. The patient does report that she tripped over something on the floor, which resulted in her falling and hitting her back on a large table. In addition, she states that her heart rate has been ranging from 130/ 90 to 140/92. Patient states her Primary care physician placed her on blood pressure medication 2 months ago due to the increase.

This week, I was given the opportunity to care for two female patients – 205(1) and (2). The first patient, 205-1, was admitted with respiratory distress and had a past medical history of hypertension, schizophrenia and bipolar disorder. She was initially put on 2 L/min of oxygen and placed on oxygen titration protocol with orders to maintain O2 saturations between 88-92%. The patient was oriented to person and place, but had difficulty with time. She was also obese (BMI 30) and deemed a moderate assist with ambulation. Her care plan included total assistance with ADLs, smoking cessation and oxygen protocols, limited salt intake (3mg), and chronic pain management. The second patient, 205-2, was admitted with a right pelvic fracture and had

On May 15, 2016 at approximately 2335 hours Security Officers Steven Evans and Omar Alonso were in the E.D. Security Office when we heard someone yell for help inside of the E.D. entrance doors in regards of a “Gunshot Wound” patient. Out of the Office, we observed a Hispanic male hoping towards the PFS counter with blood on his left abdominal area. Security Supvr. Evans grabbed a wheelchair and wheeled him to one of the E.D. triage room, while his friend, Joseph Park (witness) register him with PFS. Security team in coordination with E.D. Charge Nurse Robbie Phillips placed the Emergency Department in a lockdown, Security Officers responded and kept watch over both E.D. entrances. The patient, Daniel Lopez (DOB: 10/16/1997, FIN #85640879) was transferred to E.D. #35, he had 4 “GSW”, 2 on the right and left buttock, 1 on the right

On 3/13/16 SO EMT Perez was notified that an engine had come on campus.  SO EMT Cunningham responded along with SO EMT Perez and caught up with the engine by lakeside commons. The driver of the engine stated that he was responding for a lift assist to 3144/3146 apt 220 but that he wasn’t sure which one he was going too. SO EMT Cunningham and SO EMT Perez decided to respond to FR-220 first being that they were the engine came from gate 2 and they were closest to that building. SO EMT Perez and SO EMT Cunningham knocked and announce their presence at FR-220’s door and were both verbally invited in. The resident a Mrs. Helen Neff stated that she could not get out of her chair because it was stuck and needed help getting out of it. SO EMT Perez

Upon arrival, I had initially provided support in standing by while the Narcotics team went through the house getting everyone out. I then was asked to assist in search the two female subjects that were detained. While searching the females I went back to my vehicle to grab another set of gloves. While I was doing this, I had seen Officer Fredrick #1111 had one of the subjects identified as Keith Gray W/M (DOB: 07/09/1958) on the ground. Officer Fredrick had advised me the subject just fell face forward. With my EMT medical knowledge I looked at the subject and noticed that he was having what appeared to be

On 1/22/2015 SO EMT Perez was dispatched to FC-117 via phone call from a resident regaurding a fall . SO EMT Perez kocked and announced his presence at the apartment door. SO EMT Perez was the verbally greeted into the apartment. SO EMT Perez the unsecured the apartment door and proceeded to search the apartment. SO EMT Perez eventually found the resident, a Mr.David Furman on his bedroom floor by his bedside. Mr. David Furman slid out of his bed and was unable to get up on his own strength. SO EMT Perez asked Mr. Furman if he was in any pain, which he denied. Mr. Furman also did not present with any pain while SO EMT Perez preformed the pelvic exam. SO EMT Perez then helped Mr. Furman to his feet and witnessed him standing on his own strength

On 7/19/2015 S/O EMT Perez was dispatched to FC-504 regarding a fallen male resident/Water leak. S/O EMT Perez knocked and announced his presence at the door and was greeted by the spouse of the fallen resident in question. S/O EMT Perez was then introduced to Mr. Jerome Bluestein who was up and walking in the apartment with the assistance of his walker without any complain of pain nor was he grimacing in anyway. Mr. and Mrs. Bluestien stated that Mr. Bluestien sat down to use the toilet when the tank broke and started expelling water. Mr. Bluestien did not complain of any pain and denied any care, after insuring Mr. Bluestien was no injured in anyway S/O EMT Perez turned his attention to the leak in the bathroom. The toilet tank was broken

On 10/4/2015 S/O EMT Perez was dispatched to MG-T15. S/O EMT Perez knocked and announced his presence at the door and was greeted by the resident, a Mrs. Maxine Montgomery. Mrs. Maxine Montgomery stated that she needed some help re ajusting her sling and was unable to do it herself. S/O EMT Perez adjusted her sling and asked if Mrs. Maxine Montgomery needed any asistance with anything else and or needed any aditional care. Mrs Maxine Montgomery stated that she was fine and needed no adititional care and escorted S/O EMT Perez out. S/O EMT Perez cleared the scene without further incident.

On 8/25/2015 S/O EMT Perez was dispatched to PV-509 regarding severe leg pain. S/O EMT Perez knocked and announced his presence at the door and was verbally invited in by the resident a Mrs. Margaret Folkins. Mrs. Folkins stated that she had been in severe leg pain the entire day and she was having difficulty resting. Mrs. Folkins also stated that she was at the hospital for it the day prior because of it but the cause of the pain couldn’t be diagnosed. S/O EMT Perez asked Mrs. Folkins if she had fallen recently and if that was the reason for her visit to the hospital prior. Mrs. Folkins stated that she fall’s all the time but that wasn’t the reason for her visit to the hospital yesterday. The reason for Mrs. Folkins visit to the hospital yesterday

Yes, Avila will be successful in this case but it will only be if he has not consented for the touching in the game.Had he consented to the touching, he would not win the case because he is voluntarily participating in the game.This means that the plaintiff consented to the touching. If there was no consent to touch, then this act can be regarded as intentional and harmful as it may be just out of revenge that batter's pitcher hit Avila in the head intentionally. Moreover, in that case the act of pitcher may not only be intentional but also harmful as it caused a serious injury on Avila's head without his consent. Since, batter's pitcher intentionally harmed Avila, batter of the rival team, this would be a case of intentional battery.Battery

Disclaimer: This post seeks to be as objective as possible in describing the events of the first day of the Perez trial. Any opinions stated or speculations made should not be taken as factual, but simply used to get the general feel of how the first day went. Any minors shall remain unnamed and will simply be referred to as unidentified witness #1, 2, 3 … etc. The order in which the witnesses testified may not be completely correct as I did not take notes, which also could mean some information may be left out due to memory or non-importance. This is also meant to be a short overview to inform others on the main topics of the case, much is left out. If you would like to listen to the trial, the audio transcripts will eventually be available

During handover of the patient the paramedic received criticism from a doctor implying unnecessary immobilisation of the patient. The immobilisation equipment was removed in the Emergency Department and the patient subsequently began complaining of cervical spine tenderness.