A Case Study for Retrieval Paramedic in Australia (Essay Sample)

A case study for retrieval paramedic in Australia
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A case study for retrieval paramedic in Australia
Question 2.1
The patient is suffering from blunt abdominal trauma. This abdominal trauma leads to injury of solid organs such as spleen, liver, pancreas and liver. Hollow organs like intestines, bladder and stomach, tend to be compressible and sometimes may rapture. Abdominal trauma occurs when the abdominal organs are compacted against the backbone. Similarly, it results when internal structures are hard-pressed at their attachments (Bledsoe, Porter & Cherry, 2010). Abdominal traumas are relatively serious. Prompt care is essential to contain the situation. Abdominal trauma is risky because it is difficult to predict the extent of injuries especially damage to internal structures. As a critical paramedic expert I recommend intensive care during the transport of the patient to the health care facility.
In essence, the chest is exposed to look for full chest wall expansion. The external symptoms of trauma and inconsistent wall motion, for example, withdrawal of the chest wall on inspiration indicating a flail chest. In this case, the chest is palpated the availability of subcutaneous and rib fractures.
The paramedic crew should, therefore, be informed of the critical procedures in attending to the patient. As a critical care paramedic basic exercises should be undertaken. These exercises include; assist and position the patient in a comfortable position to her, treat the patient for shocks while having her lying flat with the knees bent, relieve her from any tight clothing especially at the waist and neck as well as examining the presence of any external injury signs (Bledsoe, Porter & Cherry, 2007). It is also necessary for the paramedics to carefully palpate the entire abdomen to assess the patient's response. This is significant to note the tenderness, abdominal masses and deformities.
In addressing shock, it is paramount to monitor the patient for vital signs. This will help identify shock. Some crucial procedures should be performed, for example, splinting of extremities or starting intravenous (IV) lines can be done during extrication (Johnson, Crittenden, Marlier, & Action Training Systems, 2013). Additionally, after identify the essence of shock the paramedics should administer high flow oxygen. Further, correct any other causes of shock, for example, tension pneumothorax.
Question 2.2
The initial planning and management of the trauma care starts with primary survey. A prompt examination of the patient's ABC-airway, circulation and breathing must be checked. This involves checking the possible injury to the cervical spine. If the patient has dyspnea, she will need endotracheal intubation. Most specifically, the care of the spinal cord is critical. The intensive care for the spinal cord immobilization requires that caution be taken when moving the patient into the transport facility as careless handling would result to more damage to the spinal cord (Hughes, 2011). Additionally, the paramedic team should ensure that the patient is breathing or else utilize the breathing support equipment during inter facility transfer. They should ensure that the patient is in a confined space, ventilation and airways are properly managed.
From the symptoms and signs reported, it is evident that the patient is in shock. Thus, it will be vital to consider both invasive and noninvasive approaches to support her Bp. Keeping the patient supine and elevating her legs six to eight inches in the aircraft will boost venous return as well as improving cardiac output.
Since there is no external hemorrhage, it is suspected that the spleen is injured. The clinical deterioration which might occur at the long run is a lack of clear understanding about the extent of internal injury (Le, Bergeron, & Bergeron, 2012). The time taken to the hospital can be a bit challenging in case there is internal bleeding. Nevertheless, close monitoring is vital to examine further how the patient is faring on. The hospital has the responsibility to ensure that equipment and drugs are in place. For example equipment such as advanced airway equipment, chest tubes and warming equipment.
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