FACULTY OF HEALTH AND ENVIROMENTAL SCIENCES
DEPARTMENT OF CLINICAL SCIENCES
PROGRAMME: EMERGENCY MEDICAL CARE
TRAUMA CASE STUDY CCOUMPOUND TIB/FIB FRACTURE, QUERY TRAUMATIC BRAIN INJURY, TENSION/PNEUMOTHORAX
Compiled by:
Rodney W.K Heyns
213098814
CONTENT
TOPIC PAGE No:
• Introduction 3
• Specific Case Discussion 3
• Dispatch Information 3
• Differential Diagnosis 4
• History Taking 5
• Assessment 5
• Emergency Management 6
• Progress & Prognosis 7
• Clinical Reflection on Case 7
• Personal Assessment 8
• Conclusion 9
• Reference List 9
• Annexure A (Patient Report Form) 10
INTRODUCTION
Motor vehicle collisions are believed to be the cause of many deaths …show more content…
• Active bleeding was observed on the tib/fib fracture
During my rapid assessment I noticed a lot of bruising on the torso, indicating blunt trauma to the chest and abdomen by the steering wheel. Steering wheel was still positioned on the chest.
Patient presented with a “U” on the “AVPU” scale. Left lower leg entrapped and entangled at the pedals, it also appeared that the patient sustained an open tib/fib fracture on the left leg.
My management of this patient included:
• Administration of oxygen via a 100% non-rebreather mask to alleviated the effects of hypoxemia.
• The Paramedic prepared the intubation equipment, and I intubated the patient to gain control of his airway and breathing, with a size 4 curved blade and size 8 ET tube. Patient was ventilated via IPPV at a rate of 1:6 bpm, which increased the SPO2 to about 93%.
• Intravenous infusion therapy, Ringers Lactate 1000ml via a 10 d/min administration set with a 14 gauge Jelco cannula over needle for a fluid challenge at about 20ml/kg was initiated to increase volume to get the BP up to 90mmHg and sustain it. I administered 1ml/kg of sodium bicarbonate 8.5 % prophylactically in order to be prepared for the circulatory collapse that might follow after rapid extrication of this
DEPARTMENT OF CLINICAL SCIENCES
PROGRAMME: EMERGENCY MEDICAL CARE
TRAUMA CASE STUDY CCOUMPOUND TIB/FIB FRACTURE, QUERY TRAUMATIC BRAIN INJURY, TENSION/PNEUMOTHORAX
Compiled by:
Rodney W.K Heyns
213098814
CONTENT
TOPIC PAGE No:
• Introduction 3
• Specific Case Discussion 3
• Dispatch Information 3
• Differential Diagnosis 4
• History Taking 5
• Assessment 5
• Emergency Management 6
• Progress & Prognosis 7
• Clinical Reflection on Case 7
• Personal Assessment 8
• Conclusion 9
• Reference List 9
• Annexure A (Patient Report Form) 10
INTRODUCTION
Motor vehicle collisions are believed to be the cause of many deaths …show more content…
• Active bleeding was observed on the tib/fib fracture
During my rapid assessment I noticed a lot of bruising on the torso, indicating blunt trauma to the chest and abdomen by the steering wheel. Steering wheel was still positioned on the chest.
Patient presented with a “U” on the “AVPU” scale. Left lower leg entrapped and entangled at the pedals, it also appeared that the patient sustained an open tib/fib fracture on the left leg.
My management of this patient included:
• Administration of oxygen via a 100% non-rebreather mask to alleviated the effects of hypoxemia.
• The Paramedic prepared the intubation equipment, and I intubated the patient to gain control of his airway and breathing, with a size 4 curved blade and size 8 ET tube. Patient was ventilated via IPPV at a rate of 1:6 bpm, which increased the SPO2 to about 93%.
• Intravenous infusion therapy, Ringers Lactate 1000ml via a 10 d/min administration set with a 14 gauge Jelco cannula over needle for a fluid challenge at about 20ml/kg was initiated to increase volume to get the BP up to 90mmHg and sustain it. I administered 1ml/kg of sodium bicarbonate 8.5 % prophylactically in order to be prepared for the circulatory collapse that might follow after rapid extrication of this