Medical case studies for the paramedic
Paramedic case study essay
The treatment course then lasted almost one full week, and although it was a longer course with a greater total dose than recommended, it was felt this would be more effective given the questionable method of administration, which by its very nature, left ample room for error. Medical Case Studies for the Paramedic presents 20 case studies on the most important medical emergencies for the ALS-level reader. Of these cases, 29, There was no blood. Pathophysiology of Diagnosis Giardia lamblia is a species of the genus protozoa. Law enforcement worked quickly to secure the area, and asked that EMS approach quickly. The explanatory variables selected were patient age, gender, income status, comorbidities, pain score, triage guideline, time of call, and call-taker qualification. Nonetheless, this systematic bias evaluation does suggest that the missing cases may have imposed some bias. Therefore, the most common route of infection is through ingestion of food or water contaminated with fecal matter particles containing the Giardia cysts. Unsurprisingly, the few studies examining triage of low-acuity patients have achieved only moderate success in identifying cases unlikely to be treated by ALS paramedics [ 2 , 3 , 4 , 5 , 6 , 7 , 8 ]. Extremities and posterior thorax are normal and patient can ambulate without assistance. Skin is warm to hot, dry, and consistent in color with minor tenting noted on the forearms. The paramedic was able to barely palpate a carotid artery pulse, so he moved immediately to primary interventions.
Had anyone in the community or in XX's family also contracted Giardiasis it would have created an interesting minor epidemic, however XX was simply an isolated case of unknown etiology. The patient was strapped on a backboard and moved to the ambulance, where the paramedic could do a full secondary assessment.
XX is a regular patient of this clinic, and PMH and previous exams are all on record at this facility. No deformities, masses, swelling, or pulsating noted on palpation.
The most common triage guideline groups for the cases with a corresponding paramedic record were abdominal pain This may involve the provision of self-care advice, advice to self-present at a community-based medical or health service or hospital, the dispatch of an alternative service provider including home-visiting doctors, nurses and hospital outreach programs, or the dispatch of a non-emergency ambulance or emergency ambulance.
Nonetheless, this systematic bias evaluation does suggest that the missing cases may have imposed some bias. All the explanatory variables were assessed for multiple collinearity and found to have no correlation likely to affect the multivariable analysis [ 33 ].
Trauma case studies emergency medicine
The objectives for each of the case studies in this book are as follows: Describe the appropriate initial management based on initial assessment findings. On auscultation lungs had CBBS, and equal chest rise with no retractions or accessory muscle usage noted. References Clayton, T. The goal of this triage is to reduce the demand for emergency ambulances by diverting suitable cases to alternative transportation or management pathways [ 15 , 23 ]. As the ambulance began to move on a minute transport to the trauma center, the crew communicated a "trauma alert," critical in the case of an unstable penetrating trauma patient. Intravenous line insertion, when it was not subsequently used for drug or fluid resuscitation, was excluded from the ALS level of treatment, which aligns with previous studies [ 3 , 4 , 6 ]. All UA findings were within normal limits, but stool culture showed Giardia lamblia trophozoites present in sufficient numbers to warrant a diagnosis of Giardiasis Giardia.
XX had no complications during birth, and records indicate no pre-natal, natal, or neonatal complications or distress.
based on 98 review