By James Whittle
Responding for all times is a self-directed examine advisor of case experiences in emergency care. It integrates the theoreticial wisdom of prehospital emergency medication with the severe pondering talents of review and intervention. This hassle-free source specializes in a sytematic method of problem-solving emergency sufferer care.
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Extra resources for 911 Responding for Life: Case studies in Emergency Care
The speed of the minivan was estimated at between twenty-five and thirty miles an hour. The passenger on the motorcycle was thrown approximately twenty feet while the driver received the impact and skidded to a halt with his bike. The passenger of the motorcycle was lying with a leg in a severely angulated position, revealing an obvious fracture of the right lower leg. The victim was a young male, conscious and yelling about the pain he was experiencing in his leg. The second paramedic quickly conducted a primary assessment.
35 ✱ 36 ✱ 911 : Responding for Life The second boy was conscious and gave his name as David, and said his friend’s name was Jason. David, whose upper body was dry, was helped in removing his pants, which were soaked from the knees down. His socks and shoes were drenched in icy cold water and, when removed, revealed cold, pale feet with waxy looking toes, which were without feeling and lacked capillary refill. Pedal pulses were non-palpable and, when asked, the boy was unable to move his toes.
Despite the time constraints, information gathering should continue throughout trauma scenarios and should be as complete as possible. A patient’s medical history may uncover a blood dyscrasia such as hemophilia or a medication such as Coumadin, warfarin, or heparin (anticoagulants); these discoveries may significantly alter the potential severity and speed of onset to shock. In determining the chief complaint, it is important to keep in mind that hypovolemia may often be hidden when it is the result of internal hemorrhage.