Case Study Chapter 7 The Human Body Your ambulance is dispatched to a rollover motor vehicle collision on the interstate. When you arrive on scene, you are met by fire fighters who direct you to the patient, who is supine on the ground
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Case Study Chapter 7
The Human Body<br>
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Your ambulance is dispatched to a rollover motor vehicle collision on the interstate. When you arrive on scene, you are met by fire fighters who direct you to the patient, who is supine on the ground after being ejected and is not moving.
Fire fighters have begun ventilations with a bag-mask device, and the patient has a palpable carotid pulse. Part 1<br>
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If the patient was thrown head-first from the vehicle, which part of the spine would be at highest risk of injury?
At what locations may the AEMT palpate central or peripheral pulses? Part 1<br>
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One of the fire fighters states that he has performed a primary assessment of the patient and that he believes that she has a possible head injury, a proximal femur fracture, as well as an unstable pelvis.
You thank him for the information and perform your own primary assessment, which results in the same findings. Part 2<br>
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What end of the femur would be proximal?
What bones make up the pelvis? Part 2<br>
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You quickly apply spinal immobilization and secure the patient to the backboard. Once inside the ambulance, you tell your partner to initiate rapid transport to the closest hospital, while a fire fighter continues with assisted ventilations.
Once en route, you quickly establish bilateral, large-bore IVs and administer a fluid bolus of 20 mL/kg per your protocols, obtain a set of vital signs, and perform your secondary assessment. Part 3<br>
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How many vertebrae comprise the spinal column?
What are the three types of muscles found in the human body? Part 3<br>
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As you are approaching the ED, the fire fighter states that the patient is attempting to breathe on her own. You ask him to assess her breathing and ensure that it is adequate in both rate, rhythm, and quality, to which he says it is. You instruct him to cease ventilating, but to pay careful attention to her respiratory status.
As you arrive at the ED, you turn over care to the awaiting trauma team. Part 4<br>
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What is the amount of tidal volume exchanged by the normal, nonexerted patient?
What is the minute volume for an adult patient breathing at a rate of 16 per minute? Part 4<br>
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Summary Knowledge of the human body plays an integral role in prehospital care. From knowing where bones are located to utilizing standard medical terminology when giving a report to the receiving physician, knowledge of the human body surrounds us on every call. Knowing how the body is supposed to operate and recognizing when it is operating incorrectly will allow the AEMT to provide quick and efficient treatment.<br>
