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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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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