Trauma Life Support Essay

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.

It is important to note that there are currently no invasive procedures that Paramedics are trained to do in the field to reduce ICP and early recognition and prompt transport to the nearest hospital with neurological capabilities is the definitive treatment for this type of injury. In our case study, the treating medics were limited in their options for treatment, mostly due to the inability to secure the airway due to the patient locking down his jaw. However they were able to suction some of the fluid and maintain an open airway through manual manipulation and cervical spinal

• Second-degree. A ligament is partially ruptured, and you may have some difficulty moving your hand normally.

Injury is a serious public health issue. Injuries differ by their nature and severity. Injuries can be unintentional or intentional. Unintentional injuries include road traffic injuries, falls, burns, drowning, poisoning, and intentional injuries include self-inflicted injuries, interpersonal violence, and war-related injuries [1,2,3]. Globally, injury causes over five million deaths per year [1,2,3]. Injury cases result in more deaths than HIV-AIDS, tuberculosis, and malaria combined (3.8 million) [1,3,4]. Nonfatal injuries represent a large proportion of the injury burden and deaths represent a small proportion [4]. Most injuries result in significant psychological trauma, potentially life-long disability, and subsequent financial loss [4].

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

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

On 07/19/15, Jamar was transported to South Strand ER after injuring his left knee jumping over a fence. The ER doctor diagnosed Jamar with a sprain knee and provided a prescription for Ibuprofen for pain. A MRI was scheduled for 07/24/2015 to confirm if there was any additional damage or if surgery is

Trauma one Pediatric Emergency Department! Trauma one Pediatric Emergency Department responding over! Rescue Unit 29 transporting a 12 year-old boy, named Mike, hit by a car while riding his bicycle. This is a hit and run accident, but other motorists called a rescue unit. The child was not wearing a helmet. Facial bleeding is under control, but he suffered facial and head trauma. There appeared to be no facture of the extremities. Presently he is awake and semi-alert. Vitals signs: BP 120/56, Pulse 120, Oxygen

American College of Surgeons National Trauma Data Bank 2013 Annual Report. (2013). Retrieved from https://www.facs.org/~/media/files/quality%20programs/trauma/ntdb/ntdb%20annual%20report%202013.ashx

The ADHS trauma stakeholder workgroup held its December meeting last week and I attended along with Dr. O’Neil. My notes are below.

Trauma, such as

Results: From a population of 34 million enrolled in KPNC over the 15-year study period, we identified 989,333 patients who had 1,308,009 emergency department encounters or admissions to the hospital for trauma. Patients contributed a median of one trauma encounter (interquartile range

“After a traumatic injury, hemorrhage is responsible for 35% of pre-hospital deaths and over 40% of deaths within the first 24 hours” (NTI, n.d.). I have worked in an intensive care unit and on a flight team. During my time as a nurse, I have cared for many patients following trauma. While working on the flight team, I became acquainted with tranexamic acid (TXA) for trauma patients who were actively, or highly suspected of, bleeding. I was familiar with TXA for post-operation coronary bypass patients, but not for trauma patients.

"Currently, there is no effective way to treat such injuries. In this initial study, we demonstrate that a sprayable polymer-based foam can be effective at treating bleeding from soft tissue without the need for compression."

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