Luke Marks is a 40-year-old male who was brought into ED by ambulance after he came off his motorcycle at 40km/hr after hitting a pothole in the road. The incident was called in by a bystander, an off-duty lifeguard, who helped to stabilise his c-spine by supporting his head (in a badly scratched helmet) and spoke to him until paramedics arrived. Handover from paramedics included: GCS 15, PERRLA, nil evidence of head injury despite a head strike, but Luke was unable to move his arms and legs and stated he had nil sensation in his legs and the sensation in his hands felt strange. The paramedics safely removed his helmet and safely secured a hard collar around his neck before transporting him to hospital. Luke reported pain of 8/10 in his cervical spine but nowhere else. His vital signs were as follows: RR 22, SpO2 98% RA, HR 59bpm, BP 125/63 mmHg, Temp 35.7 degrees. Paramedics administered 8mg IV ondansetron, 5mg s/c morphine and 250ml of NaCl (0.99%) en route. Luke has no significant medical history and takes no regular medications. You are assigned to care for Luke. When you enter his room, he is visibly upset and asks you, “What is happening to me? Why can’t I feel my legs?”. You are required to populate your ABCDE assessment. You must use this template to present your findings. Within the ABCDE section of the template you must present the information in dot points. Your actions/strategies must be supported by contemporary and relevant literature. ABCDE Framework for Luke Assessment Findings Actions/strategies Airway Breathing Circulation Disability Exposure

1st Edition

ISBN:9781938168130

Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble

Publisher:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble

Chapter13: Anatomy Of The Nervous System

Section: Chapter Questions

Problem 7ILQ: Watch this animation (http://openstaxcollege.org/l/bloodflow1) to see how blood flows to the brain...

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Question

Luke Marks is a 40-year-old male who was brought into ED by ambulance after he came
off his motorcycle at 40km/hr after hitting a pothole in the road. The incident was called
in by a bystander, an off-duty lifeguard, who helped to stabilise his c-spine by supporting
his head (in a badly scratched helmet) and spoke to him until paramedics arrived.
Handover from paramedics included: GCS 15, PERRLA, nil evidence of head injury despite
a head strike, but Luke was unable to move his arms and legs and stated he had nil
sensation in his legs and the sensation in his hands felt strange. The paramedics safely
removed his helmet and safely secured a hard collar around his neck before transporting
him to hospital. Luke reported pain of 8/10 in his cervical spine but nowhere else. His vital
signs were as follows: RR 22, SpO2 98% RA, HR 59bpm, BP 125/63 mmHg, Temp 35.7
degrees.
Paramedics administered 8mg IV ondansetron, 5mg s/c morphine and 250ml of NaCl
(0.99%) en route.
Luke has no significant medical history and takes no regular medications.
You are assigned to care for Luke. When you enter his room, he is visibly upset and asks
you, “What is happening to me? Why can’t I feel my legs?”.

You are required to populate your ABCDE assessment.

You must use this template to present your findings.

Within the ABCDE section of the template you must present the information in dot points.

Your actions/strategies must be supported by contemporary and relevant literature.