case studeis Soft-Tissue Injuries Case Study Flashcards

case study Flashcards based on Soft-Tissue Injuries Case Study

What is the initial patient presentation at the local garage?

A 27-year-old man with burns from an accident involving a car with possible entrapment.

Where is the patient complaining of pain?

Right thigh and ankle.

What was the patient's ankle pinned under?

Pinned under a tire while the other side of the car was still on the jack.

What is the state of the patient's respiratory effort?

Rapid and purse-lipped.

Because the patient is not in a life-threatening environment, you opt for what?

To perform the remainder of the primary assessment, including a rapid exam to determine whether he has other injuries.

What pertinent medical history does the patient provide?

No medications, allergic to penicillin, and no significant past medical history.

What intervention is done before immobilizing the victim's neck?

High-flow oxygen in place and no other apparent injuries.

What do you notice about the ankle during immobilization?

Bruised area to the outside and top portion of the ankle.

What type of injury do you suspect of the ankle?

Crushing fracture.

How is the ankle immobilized?

Firm pillow splint with a cold pack placed over the bruising.

What kind of exam is performed after the patient is transfered to the ambulance gurney?

Full-body exam.

What is the patient's respiratory rate?

22 breaths/min and unlabored.

What is the patient's pulse rate?

96 beats/min and regular.

What is the patient's blood pressure?

134/88 mm Hg.

What is the patient's pulse oximeter reading?

100% on oxygen.

What is the status of the patient's pupils?

Midpoint, equal, and reactive to light.

When examining the patient's thighs, what do you observe?

Three large, fist-sized blisters.

Where does the patient state the most intense pain is?

Centers of the blisters

What do you gently pour over the burn area?

Sterile water.

How do you dress the burned area?

Large, dry, loose dressing.

After treating the burns, what is the patient's respiratory rate upon reevaluation?

20 breaths/min, still unlabored.

After treating the burns, what is the patient's pulse rate upon reevaluation?

84 beats/min.

After treating the burns, what is the patient's blood pressure upon reevaluation?

128/78 mm Hg.

After treating the burns, what is the patient's pulse oximeter reading upon reevaluation?

99%.

What sensation does the patient report regarding his foot?

That the foot feels cold and tingly.

What action do you take to address the patient's foot feeling tingly?

Slightly loosen the cravats used to apply pressure to the pillow splint.

What is the patient's response after loosening the cravats on the pillow splint?

The foot is not as tingly.

What information is included in the report to the hospital?

Chief complaint, circumstances of his injury, extrication and immobilization, the degree and depth of his burns along with a description of his blisters, and the care you have provided.

What information about the ankle is included in the report to the hospital?

Patient’s ankle injury, stabilization, and initial and last vital signs.

What other information is included with the report to the hospital?

ETA and ask if the facility has any instructions for you.

A patient with multiple injuries is what?

A treatment challenge.

With little warning, what can happen with trauma patients?

The trauma patient can become very sick, very rapidly, for reasons you may be unable to detect.

How should you treat trauma patients?

Treat trauma patients with a high and continuous level of suspicion.

How often should you reevaluate trauma patients?

Reevaluate the patient often regardless of how stable he or she appears.

Upon arrival, what precautions are immediately taken?

Standard precautions.