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Pre-Hospital Immobilization of Trauma Patients Essay example

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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 ...


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...y W.A & Hostler D.P (2006). Comparison of the Ferno Scoop Stretcher with the long backboard for spinal immobilisation. Prehospital Emergency Care.10 (1): 46-51

Mobbs R.J, Stoodley M.A & Fuller J (2002) Effect of cervical collar on intracranial pressure. The Royal Australasian College of Surgeons.72 (6); 389-391

National Institute for Clinical excellence (2007) 56- Head injury (p15).

Stiell I.G, Clement M, McKnight R.D, Brison R, Schull M.J, Rowe B.H, Worthington J.R et al (2003). The Canadian C-Spine Rule versus the NEXUS low-risk criteria in patients with trauma. The New England Journal of Medicine, 349(26): 2510-2518


Stiell I.G, Wells G.A, Vandemheen K.L, Clement C.M, Lesluk H, De Maio JD et al (2001) The Canadian C-spine Rule for radiography in alert and stable trauma patients. The journal of the American Medicine Association, 286(15); 1841 -1848



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