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Head Injury/Traumatic Brain injury (TBI)
Only partial write required please.
Please read the start and then complete the parts in green. This must be written using uk approaches and guidelines. Below are the learning outcomes
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Critically analyse the pathophysiology of pre-hospital traumatic injury
Critically evaluate the principles of patient assessment in relation to current trauma guidelines/recommendations.
Evaluate the efficacy of current guidelines/recommendations in relation to the management of pre-hospital trauma.
Analyse the professional, ethical and legal responsibilities of the pre-hospital emergency care provider.
State the rationale for your choice of patient, including the situation within which the trauma occurred.
Briefly discuss your role in the assessment and management of the patient.
State what you will discuss within the content of the assignment.
This assignment is a case study of a 60-year-old female who had sustained a head injury by falling from height. To safeguard confidentiality, the patient will be referred to as Jo (Health & Care Professions Council (HCPC, 2016). This case study has been chosen as traumatic head injuries caused by falls are increasing (NICE, 2019). The case study will discuss and critically analyse the pathophysiology of pre-hospital traumatic injury to include the kinematics of injury. It will appraise the principles of the assessment process in relation to current trauma guidelines to include the evaluation of the effectiveness of the current guidelines in association with the management of the pre-hospital trauma patient. It will investigate the professional, ethical and legal responsibilities of the clinician in the pre-hospital emergency environment.
At midnight, a 999 call was made as a 60-year-old female had fallen down the stairs and was actively bleeding from the head. The attending paramedic crew were encountered by Jo’s husband at the ambulance, introductions were made, and a brief history was gained. Jo had finished drinking half a bottle of wine when they have both decided to go to bed. Jo had got to the top of the stairs when she fell to the bottom, hitting her forehead on the newel post at the bottom. The fall was approximately two and half metres. Jo’s husband indicated that there was blood everywhere, but his wife was speaking to him after a short period of unconsciousness. At the same time as the husband was directing us to the patient, I was using the S.M.A.R.T mnemonic (see appendix 1). Jo was at the bottom of the stairs kneeling on the floor with her head in her hands with a blood saturated teatowel held against her forehead.
According to Bont and Geurink (2016), the leading cause of death among adults is trauma. Fundamentally, traumatic injuries range from small lesions to life threatening injuries. Management of trauma patients requires a systematic approach to ensure that their physical and psychological needs are attended to.
Paramedics or Pre-Hospital clinicians often respond first to trauma patients. They provide care at the scene of the accident and on the way to the hospital. Major trauma hospitals are located throughout the United Kingdom, which have well-equipped emergency rooms to attend to the patients. Trauma patients with severe and life-threatening injuries are treated at the intensive care unit or dedicated trauma units. In fact, Cox et al. (2011) note that there some beds that are specifically made for these patients. Furthermore, some trauma patients undergo psychiatric evaluation to define their psychological well-being (see appendix 1).
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