This is a paramedic course’s assignment that answers the following questions:
(1) Risks associated with treating a hypotensive patient with a penetrating chest wound using crystalloid fluids and alternative treatments available in pre-hospital setting.
(2) Discussion of the application in civilian pre-hospital care of Focused Assessment with Sonography in Trauma (F.A.S.T.).
(3) Treatments available in the prehospital setting for envenomation (poisoning from animal venom)
(4) Discussion of the recognition of major injuries in elder trauma patients.
Inhaltsverzeichnis (Table of Contents)
- Question 1
- Risks associated with treating a hypotensive patient with a penetrating chest wound inflicted by a 25cm blade using crystalloid fluids and alternative treatments available in pre-hospital setting
- Question 2
- Focused Assessment with Sonography in Trauma (F.A.S.T.) has been adopted in battlefield trauma care. Support or refute it application in civilian pre-hospital care.
Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)
This text explores the challenges and controversies surrounding the use of crystalloid fluids in treating hypotensive patients with penetrating chest wounds in a pre-hospital setting. It also examines the applicability of Focused Assessment with Sonography in Trauma (FAST) in civilian pre-hospital care.
- Risks of using crystalloid fluids in treating hypotensive patients with penetrating chest wounds
- Alternative treatments for pre-hospital trauma care
- Application of FAST in civilian pre-hospital care
- Advantages and disadvantages of FAST compared to CT scans
- Importance of clinical suspicion in managing trauma patients
Zusammenfassung der Kapitel (Chapter Summaries)
Question 1
This section delves into the risks associated with treating hypotensive patients with penetrating chest wounds using crystalloid fluids. It discusses the potential for hypovolaemic cardiac arrest, haemodilution, tissue edema, and bacterial translocation. The text also highlights the uncertainties surrounding the use of crystalloid fluids in pre-hospital settings and recommends alternative treatments like hypertonic saline and artificial oxygen carriers.
Question 2
This section examines the application of FAST in civilian pre-hospital care. It explores the benefits of FAST, such as its non-invasive nature, accuracy, and cost-effectiveness. However, the text also discusses the limitations of FAST, including its inability to identify the exact site of injury and its lower sensitivity compared to other imaging modalities. Ultimately, the section argues that FAST cannot be used alone in healthcare and that CT scans are often preferred due to their greater accuracy and cost-effectiveness.
Schlüsselwörter (Keywords)
The main keywords and focus topics of this text include pre-hospital care, crystalloid fluids, hypertonic saline, Focused Assessment with Sonography in Trauma (FAST), CT scans, blunt abdominal trauma, trauma care, and clinical suspicion. The text also focuses on the controversies and challenges surrounding the use of these techniques and their impact on patient outcomes.
Frequently Asked Questions
What are the risks of using crystalloid fluids for penetrating chest wounds?
Risks include hypovolaemic cardiac arrest, haemodilution, tissue edema, and bacterial translocation. These complications can arise when treating hypotensive patients in pre-hospital settings.
What are alternative treatments to crystalloid fluids in trauma care?
The text suggests alternatives such as hypertonic saline and artificial oxygen carriers, which may offer better outcomes for certain types of pre-hospital trauma.
What is F.A.S.T. in trauma assessment?
F.A.S.T. stands for Focused Assessment with Sonography in Trauma. It is a non-invasive ultrasound technique used to identify free fluid (blood) in the abdominal and pericardial cavities.
Is F.A.S.T. suitable for civilian pre-hospital care?
While accurate and cost-effective, the text notes limitations such as inability to pinpoint exact injury sites. CT scans are often preferred in civilian settings due to higher sensitivity.
How are major injuries recognized in elderly trauma patients?
Recognition requires high clinical suspicion, as elderly patients may have different physiological responses and comorbid conditions that mask the severity of trauma.
What treatments are available for envenomation in the pre-hospital setting?
The assignment covers various pre-hospital treatments for poisoning from animal venom, focusing on immediate stabilization and management strategies.
- Arbeit zitieren
- Patrick Kimuyu (Autor:in), 2016, Trauma Studies for Paramedics, München, GRIN Verlag, https://www.grin.com/document/381304
