New PDF release: 911 Responding for Life: Case studies in Emergency Care

By James Whittle

ISBN-10: 0585407525

ISBN-13: 9780585407524

ISBN-10: 0766826767

ISBN-13: 9780766826762

Responding for all times is a self-directed examine consultant of case reviews in emergency care. It integrates the theoreticial wisdom of prehospital emergency medication with the severe considering abilities of overview and intervention. This hassle-free source specializes in a sytematic method of problem-solving emergency sufferer care.

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Additional resources for 911 Responding for Life: Case studies in Emergency Care

Example text

It was twenty-five minutes before their cries were heard and another forty-five minutes before they were rescued and back on land. On assessment, Jason’s pupils were dilated but reactive to light, although slow to respond. He was pale and cold to the touch, and the removal of his wet clothes was extremely difficult because of pronounced muscular rigidity. His jacket, shirt, and T-shirt had to be cut off. He was not shivering. David stated that Jason had stopped shaking just prior to the arrival of the police.

His socks and shoes were drenched in icy cold water and, when removed, revealed cold, pale feet with waxy looking toes, which were without feeling and lacked capillary refill. Pedal pulses were non-palpable and, when asked, the boy was unable to move his toes. David was quickly bundled into one of the pre-warmed blankets and placed into the back of the second ambulance. David’s speech was slow and slurred and hampered by a constant, almost violent shivering. However, the story eventually came to light that he and Jason, both thirteen years old, had been walking along the ice close to shore on the way home from school.

A) Since the brain uses glucose almost to the exclusion of all other fuels, a deficit in glucose brings the signs and symptoms of hypoglycemia in rapid order. Hyperglycemia, on the other hand, with its subsequent buildup of metabolic acidosis, occurs gradually over hours or perhaps even days. Confusion and disorientation resulting from hypoglycemia does not always allow the patient to relate an accurate history. If a gag reflex is absent, and the patient insufficiently conscious, then introducing fluids of any kind could induce aspiration which may severely compromise the airway, and is thus contraindicated.

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911 Responding for Life: Case studies in Emergency Care by James Whittle

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