Trauma patients am currently taking a EMT course through Copper Mountain College. We have had to study trauma and medical cases. I would like to share with you in detail some of the cases that we have studied first ill introduce you to some of the assessments that have to be done before we begin. For a trauma patients especially one whose injuries are serious-time must not be wasted at the scene. This patient needs to get to a hospital as quickly as possible.
On the other hand, enough time must be spent at the scene to assess the patient adequately and give proper emergency care. A trauma case can range anywhere from a broken bone to death. Traumatic injuries are the result of an outside forces acting on the body. Falls, vehicle collisions, and violence are just a few causes of trauma. It all depends on the mechanism of injury, meaning what caused the accident.
My first trauma patient is a male patient, he has stopped at an ATM machine near his house. Rushing to make a committee meting, he didn’t notice the man watching him from a short distance away. As soon as he gets his cash, the man dashes in and attempts to grab it. The man who well call Rick, briefly resist and receives a stab wound in the abdomen. On arrival of the emt they see a man lying on the ground in a pool of blood near his abdomen and back.
with a few of his guts from his abdomen this looks serious. Blood is everywhere and his skin looks as if it had been stretched and pulled till it tore. The skin is blue and red, very swollen and bruised. Rick is screaming for help. As best as possible the emt bandages the wound and loads him up for transport. On the way to the hospital Rick stops breathing.
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Turning blue and white at the mouth the emt tries CPR. After regaining his breathing they continue to the hospital. A week later Rick recovers fully. The next type of patients are medical patients. An example of this would be a case like, one afternoon, an elderly man whose stomach hurts, calls 911. There is no apparent mechanism of injury.
This man just appears ill so as far as we can tell he could just have the flu. We as assess him to find out more information the proceed to the hospital. Doing an assessment on a patient is very difficult and must be done effectively and you must be very descriptive in order to find out all the signs and symptoms. The first part is the initial assessment. First you would form an general impression say on a 25 year old man who appeared unresponsive with snoring respiration’s. Your partner stabilized Brains head as you placed him in a supine position.
You checked his mental status while your partner performed a jaw thrust to relieve the snoring and project the airway. You evaluate Brian’s breathing and circulation, inserted an oral airway, and administered high concentration oxygen. You assigned Brian a high priority because of the significant mechanism of injury and because he was unresponsive to pain and showed signs-rapid, weal pulse and pale, clammy skin-of diminished circulation. You decided to transport him quickly, taking just a few moments first to conduct a rapid version of the focused history and physical exam.
A focused history provides clear guidelines to help you achieve the goal. So on a patient with a significant mechanism of injury you follow theses steps. Reconsider the mechanism of injury, continue spine stabilization, consider requesting advanced life support, reconsider your transport decision, reassess mental status and assess baseline vital signs. I have briefly described to you the steps of assessing a trauma patient.
With that in mind maybe this will help with anything you may come across in the future.
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