Case Study Of Explorative Laparotomy

Great Essays
Outline of Case and Objectives
 43 year old male
 Previous laparotomy about 10 years ago due to gunshot abdomen
 Presenting now with a single stab wound to the right epigastric region, pericardial effusion confirmed by ultrasound. Explorative laparotomy done- patient has right ventricular injury and right sided diaphragmatic injury
 The patient was intubated and ventilated
 The patient had the following devices in place: o Right Intercostal Chest Drain (ICD) for a haemothorax which drained 150ml. o Right sided mediastinal drain o Left sided pericardial drain o Left sided peripheral intravenous (IV) line o Right sided central venous line o Right radial Arterial line (A. line)
 Before this case I had not previously come across an A. line in hospital or prehospitally which is why I will be focusing on arterial line care and maintenance during interhospital transfers. I have extended my search to in hospital care as there is very little literature focusing specifically on prehospital care of A. lines.
Relevance
As an Emergency Care Practitioner (ECP) you are often required to do interfacility transfers of critically ill patients. These patients oftentimes have devices in place that an ECP would not routinely come
…show more content…
lines during transportation it is of utmost importance that the site of the A. line is adequately stabilised before an interfacility transfer. This reduces the risk of displacing the A. line. Wake county also states that the practitioner is to ensure that the A. line is not entangled in other intravenous lines or monitoring equipment- This would decrease the chance of displacing the A. line. If a line is suspected to have tissued, it’s immediate removal is required and pressure is to be applied for a minimum of five minutes; once completed a re-evaluation of the patient is required to establish hemostasis. (Wake County EMS System STANDARDS and PRACTICE 2013,

Related Documents

  • Improved Essays

    Preventing infections related to microorganisms that are airborne, bloodborne, or droplets can be done by donning appropriate PPE; such as: surgical or procedural mask, respirator, gloves, long-sleeved gowns and eye protection such as goggles or face shields, and most importantly, washing hands before and after each patient care activity. The rationale behind this is to prevent skin and mucous membrane exposure when in contact with blood and body fluid of any patient and also to decrease risk of nosocomial infection or transmission of infection. Proper handling of infected items is the key to reduce the risk of transmission and cross contamination within the facility. Removal of gloves, masks, and gowns after each use should be disposed according to the facility…

    • 530 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    However, since grief goes far beyond the “perfect world” scenario, healthcare providers could reasonably expect some clients to experience complicated grief. Complicated grief is defined by an interruption in the bereavement process without resolution (Howarth, 2011). Some may have “trauma” experiences that serve as reminders of their deceased loved ones (Howarth, 2011). These experiences not only interfere with bereavement, but they also prevent reconciliation and may cause physiological and psychological distress equivalent to those that occurred at the time of the loss (Howarth,…

    • 796 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    These cases are seen in patients with Lou Gehrig’s disease, where the loss of all motor function is inevitable. The medical field has come a long way in regards terminally ill patients and PAS, but there are other groups of individuals within our society who still need to be taken into consideration (Jaret,…

    • 825 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Latisse Case Study

    • 1041 Words
    • 5 Pages

    This should be treated as soon as possible so that the optic nerve is not damaged. Vision may also be affected because of this condition. Patients having chronic wide angle glaucoma or simple glaucoma should instill a single drop in the eye. Eyes should not be blinked after this. Close your eyes for around 60-120 seconds.…

    • 1041 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Upon arrival his breath sounds were diminished. His CT scan revealed he had over 30 small clots in in his lungs. Even though my patient was on deep vein thrombosis (DVT) prophylaxis and participating in rehabilitation, an ultrasound doppler of his legs revealed four deep vein thrombosis, one in the left knee, left calve, and two more DVTs in the patients right calve. He was transferred to the critical care unit for anticoagulant therapy to try to dissolve the clots and monitor his condition. His diagnosis was multiple Pulmonary Embolisms and Deep vein thrombosis.…

    • 1623 Words
    • 7 Pages
    Great Essays
  • Superior Essays

    Preventing Elderly Abuse

    • 1702 Words
    • 7 Pages

    Elderly has many causes, has long lasting effects, and by taking the right steps can be prevented. Although elderly abuse does occasionally occur in nursing homes and elderly care facilities its most common place is within our own homes. There are many…

    • 1702 Words
    • 7 Pages
    Superior Essays
  • Superior Essays

    Those who are exposed should follow safety procedures and use appropriate safety equipment. Personal protective equipment (PPE), such as safety goggles and surgical masks, could protect healthcare workers from a patient’s cough, spit, or vomit containing blood. Gloves should be worn to prevent exposure to broken skin on the hands. These items should be provided by the employer along with proper training, which leads to the next method for controlling exposure: education. Perhaps the most important step towards preventing the spread of bloodborne pathogens is education and specific training.…

    • 992 Words
    • 4 Pages
    Superior Essays
  • Decent Essays

    Cataract Surgery Essay

    • 423 Words
    • 2 Pages

    Typically, this will need to be done soon after the cataracts start to seriously degrade your vision. To ensure you do not wait too long to have this surgery done, you should regularly have your eyes checked to monitor the progress of the condition. How Will Surgery Correct Your Cataracts? During cataract surgery, your doctor will remove the lens of the eye and replace it with an artificial one. This is done by making a small incision in the eye to remove the lens.…

    • 423 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Medical errors top the list as one of the main errors committed in the health care setting and one of the main issues that threatens patient safety. Medical errors is best described as the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim (err). Problems that contribute to medical errors are: surgical injuries and wrong site surgery, suicides, restraint-related injuries or death, falls, burns, pressure ulcers, mistaken patient identities, and improper transfusions and adverse drug events from medication administration (err). Medication administration is a complex multistep process that encompasses prescribing, transcribing, dispensing, and administering drugs and monitoring patient response…

    • 785 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Patients who survive the ordeal will need to be placed on breathing machines for an extended period after receiving CPR. Being placed on a breathing machine during your last moments is not a good quality end of life. Ethically speaking, physicians are supposed to have the patient’s best interest in mind when helping them make medical decisions. This means that physicians should be able to offer to the patient a more peaceful and less invasive way to end their life, as to avoid the patient having to suffer an unwanted and painful…

    • 1225 Words
    • 5 Pages
    Superior Essays