This website uses cookies to ensure you have the best experience. Learn more

Pre Hospital Immobilization Of Trauma Patients Essay

1979 words - 8 pages

It is appreciated that the given case study contains other factors such as psychological trauma and the impact of blood loss. However this essay is going to explore the efficacy of pre hospital immobilisation utilising cervical collars and extrication/ orthopaedic stretchers, reflecting on an account from the paramedic’s practice. A modified framework of Gibbs Reflective cycle (1988) will be used. Including Description, Feelings, Evaluation, Conclusion and Action Plan. This essay is supported throughout using relevant evidence and seminal work.
When working on an ambulance for a large ambulance service a case was given of a 27-year-old male who had been assaulted. On arrival at scene the crew were met at the entrance to a block of flats by a police officer. The crew where informed that the patient was in a second floor flat and the assailants where no longer on scene. On entering the given address there was blood in the corridor of the unkempt flat. A Primary survey was conducted to ascertain scene safety regarding threats to the crew or patient and to identify any immediate life threatening conditions. Fisher J.D, Brown S.N & Cooke M.W (2006) reinforces this by stating the importance of evaluating Time Critical, Potentially Time Critical or Non Critical features when undertaking the Primary survey. The patient was sat up in the kitchen accompanied by a police officer; he informed the crew that he had been assaulted with a baseball bat.
A secondary survey was undertaken encompassing a patient history and head to toe assessment to identify the extent of the patient’s injuries as stated by I. Greaves, K.Porter, T.Hodgetts and M.Woodard (2006). He was found to have a 2-inch haematoma to the back of the head and a 1inch laceration to the forehead with significant blood loss. The patient complained of a headache but denied any visual disturbance, neck tenderness or neurological deficit. Fisher J.D et al (2006) details signs of specific spinal cord injury as:
Neck or back pain.
Parasthesia and loss of power in the limbs
Sensation of burning in the trunk or limbs.
Sensation of electric shock in the trunk or limbs.

However the patient was immobilised with a cervical collar and extrication board and conveyed to the appropriate receiving hospital as Fisher J.D et al (2006) also states all patients should have initial immobilisation if the mechanism of injury suggests possible spinal injury.
During handover of the patient the paramedic received criticism from a doctor implying unnecessary immobilisation of the patient. The immobilisation equipment was removed in the Emergency Department and the patient subsequently began complaining of cervical spine tenderness.

Initial thoughts and feelings where to do what was in the best interest for the patient by preventing any further injury by immobilisation. At the hospital the patient did not have an x-ray or have his c spine assessed prior...

Find Another Essay On Pre-Hospital Immobilization of Trauma Patients

Evaluation of C-Spine Essay

2087 words - 9 pages trauma scenarios, particularly those scenarios with trauma to the head, neck or back. EMS professionals apply these precautions in the vague hope that it may help, however, the most common reason is CYA. What EMS professionals don’t think about during the process of spinal immobilization is the potential harm in applying these precautions to patients that don’t require them. An evaluation of the safety and effectiveness of several alternatives to

Bilateral Femoral Fractures Essay

1618 words - 6 pages quantify the severity of an injury, estimate the probability of survival, facilitate pre-hospital triage, allow accurate comparison of different trauma populations, evaluate trauma care, compare trauma care among hospitals, and organize and improve trauma systems. In our study we calculated the severity of injuries in terms of Injury Severity Score (ISS) and also Revised Trauma Score (RTA).The spectrum of our patients injury severity ranged from

Synthesis of extract

1274 words - 6 pages In the present work, we employed cysteine to enhance the immobilization efficiency for alkaline phosphatase on internal glass surface of test tube. Here, CSNPs acted as bridges between glass and enzyme. The advantage of using CSNPs is that, it enhances the initial enzyme loading capacity on single nanoparticle, as many cysteine groups are attached to it which can further be used for the immobilization. Before the attachment, glass surface needs

The First Computerized Trauma Registry

1143 words - 5 pages Trauma Registry A Trauma registry is a computerized database that comprises a wide-ranging demographics, injury information, and trauma outcomes. The collection of this information helps in the assessment of trauma care for set injured patients who meet certain standards for inclusion. Some of the information contained in this registry includes hospital-based trauma information and patient data from other health care providers which includes

truama c-spine

1410 words - 6 pages Trauma C-Spine      This essay is not intended to criticize any emergency medical or hospital staff. I am writing this essay out of concern for patients who come into the emergency room that may have a jeopardized spinal cord resulting from an injury or suspected injury to their cervical spine. I am a certified emergency medical technician, farm-medic instructor and currently a medical diagnostic student doing

Understanding Rhabdomyolysis: Causes, Signs and Symptoms

1590 words - 6 pages United States annually (Melli G, 2013). Sixty percent of these cases in adults include multiple factors such as trauma and compression leading to direct muscle injury, occlusion of vessels from thromboemboli or surgical clamping, prolonged immobilization, burns and fractures. However, Rhabdomyolysis in pediatric patients is often caused from infections, trauma, metabolic conditions and muscle diseases. (Mannix R, 2006). The overall mortality for

Reducing Blood Loss in the Trauma Patient

2480 words - 10 pages Traumatic injury is the leading cause of death for patients between the ages of five and 44 and accounts for 10% of all deaths worldwide. Among this 10%, 30-40% of these deaths can be contributed to uncontrolled bleeding that has the potential to be corrected in the pre-trauma center environment (Spahn et al., 2010). Various methods have been studied throughout the past 10 years to improve the outcomes of patients who suffer from massive

Evaluate the multiple phases involved in the accurate delivery of external beam radiation

1507 words - 7 pages The patient pathway towards the delivery of external beam radiation (EBR) is an intricate system of phases. Each reliant consecutively with accuracy being the principal objective. Diagnosis, localization, immobilization, treatment planning, verification and treatment delivery are the main phases of the pathway. Each co-dependent and essential in the delivery of accurate EBR and yet also potentially equally inhibiting. A recent study by Cancer

The Three Most Common Pathologic Fractures

729 words - 3 pages Wheeless, 2013 described pathologic fractures as occurring as a result of low energy impact through an area of weak bone with a pre-existing abnormality. An example of pathologic fractures would be fragility fractures, a common clinical manifestation of osteoporosis. The three most common fragility fractures are hip fractures, vertebral fractures and Colles’ fracture. A study published recently found that the single largest cause of fractures in

The History of Emergency Medicine

2645 words - 11 pages victims into surviving patients (Department of Transportation, I-8). In 1967 one of the first such systems was set up in Pittsburgh. "Unemployables" of the black ghetto were trained in basic life support for pre-hospital, ambulance use. For these individuals, who were not accustomed to the medical profession, the world of emergency care was a shock. Special stresses and constraints existed when rendering CPR in a crowded restaurant, childbirth in a

Marketing Mix for the Texas Trauma Institute

1462 words - 6 pages Galveston ceased to function as a Level 1 trauma center. This left two remaining trauma centers. Ben Taub and the Texas Trauma Institute. Ben Taub is a county hospital that does not accept customers outside of Harris County, Texas. In addition, Ben Taub Hospital is placed on diversion status, closed to accepting trauma patients, approximately 15% to 40% of the time (American College of Surgeons, 2009). The care provided to the critically injured trauma

Similar Essays

Long Spine Board Immobilization, An Overused Pre Hospital Intervention

745 words - 3 pages Patients, that have suffered blunt or penetrating trauma that is significant enough to cause spinal injury, have always been treated by Emergency Medical Services with full spinal immobilization. Most textbooks for paramedics and EMTs stress the importance of procuring manual c-spine immobilization, followed by c-collar application, and then placed on a spinal board with the patient’s head secured to the spinal board. This management of trauma

Pre Hospital Intubation For Pediatric Trauma Victims

2272 words - 9 pages ring11. All these anatomical differences makes the airways visualization coupled with manipulation of the endo-tracheal tube much more difficult in children compared with adults. IS PRE-HOSPITAL INTUBATION FOR PAEDIATRICS TRAUMA VICTIMS NECCESSARY? As stated above, airway management in paediatric patients is more challenging when compared with adult - the main challenge been in the smaller size and unique airway anatomy of patients in this age

History Of Pre Hospital Care Essay

1651 words - 7 pages Pre hospital care and clinical practice in civilian life is not a new idea, in fact it is has been around in one form or another for roughly 200 years. Its foundations lie in the military. During the Napoleonic wars with a French surgeon named Dominique-Jean Larrey. (1) Pre hospital care has come a long way from hauling fallen soldiers off the battlefield in a horse drawn carriage (1) to transporting patients in a different kind of carriage, a

The Ratio Of Contrast Volume To Glomerular Filtration Rate Predicts In Hospital And Six Months Mortality In Patients Undergoing Primary Angioplast

2063 words - 9 pages Decreased glomerular filtration rate (GFR) is an important predictor of adverse cardiovascular events in acute coronary syndromes (1-5). Patients who have normal renal functions and undergo percutaneous coronary interventions (PCI) are also under risk for adverse events due to contrast induced nephropathy (CIN). (6,7) Contrast volume is an modifiable major risk factor for CIN and closely related with in-hospital mortality (8-10). Recently the