• Hemorrhage-heparin • Know the cause and prioritizing the intervention • Airway-Hemiplegia Pt easily gets tongue obstruction • Turn the head to the side • 10-30* HOB for better venous return • O2 • IV • VS • Assessment-Neuro‚ pupil‚ Glasgow coma scale‚ Ask Pt Q ex) Raise your hand‚ Squeeze my hands. • 48-72 time line is so important • TPA clot buster should be administer in 3 hr Respiratory system-Airway • Side lying position to prevent aspiration • After 48 hr‚ Pt may breathe their
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Glasgow Coma Scale (GCS) is one of the frequently used severity classification systems to determine the degree of TBI. The GCS scale is normally used for the preliminary assessment of TBI severity. It is an experimental prognostic pointer and helps in early assessment of the severity of brain damage. In Mary’s case‚ the GCS scale could have been used to determine whether she received any initial resuscitative measures
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Chapter 69: Nursing Management: Emergency‚ Terrorism‚ and Disaster Nursing Test Bank MULTIPLE CHOICE 1. During the primary assessment of a victim of a motor vehicle collision‚ the nurse determines that the patient is breathing and has an unobstructed airway. Which action should the nurse take next? a. Palpate extremities for bilateral pulses. b. Observe the patient’s respiratory effort. c. Check the patient’s level of consciousness. d. Examine the patient for any external bleeding. ANS: B Even
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Benefits vs. the risks of rapid sequence intubation in the pre-hospital environment: Rapid sequence intubation is a very risky procedure even in a stable environment‚ but when the unknown variables in the pre-hospital environment are considered‚ this procedure becomes more criticized every time it is used. When initiating the rapid sequence intubation protocol‚ the paramedic takes total control over the patient’s airway by sedating the patient with paralytic drugs and placing a breathing tube into
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investigation upon infection of the shunt‚ and investigation for possible occlusion or blockage of the shunt. If there is also any closed head injury then that can be an indication for Intracranial Pressure Monitoring. Severe traumatic brain injury with a Glasgow coma score less than 8. Which means there is either mostly all senses or very little to no senses. If a patient undergoing general anesthesia has a risk of developing a high ICP that is also an indication of Intracranial Pressure Monitoring. If someone
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Head injury Any trauma to the scalp‚ skull or brain‚ TBI. Head trauma includes an alteration in consciousness‚ no matter how brief. Common causes: motor vehicle crashes and falls. Firearm‚ assaults‚ sports-related injuries‚ recreational accidents. Deaths occur at three points in time after injury: 1) Immediately 2) within 2 hours 3) 3 weeks after the injury GCS on arrival is also a strong predictor of survival: GCS < 8 30% to 70% chance of survival. GCS > 8 indicating >90% survival. Neurological
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year. As a tourist destination‚ Scotland boasts idyllic opportunities for its visitors such as the hillwalking the Munro Mountains‚ fishing the River Tay‚ immersing in the history of Edinburgh or Stirling and admiring the cultural diversities of Glasgow. These opportunities are realised and exploited by Government body: Creative Scotland‚ which was set up in 1993 and is dedicated to supporting the promotion of culture in Scotland on both national and international levels. Creative Scotland support
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GNT1 - Task One The case review presents a 73-year-old female patient who is brought to the emergency department after collapsing at her residence. Just prior to the incident‚ the patient is reported to have been acting “confused.” Upon arrival to the emergency department‚ the patient is having difficulty breathing with an increased respiratory rate and pulse. The nurse is unable to complete the initial examination before the patient becomes unresponsive and has increased work of breathing.
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Assessment 1 – Written Assignment: Part B A major component of the care Paramedics provide is the assessment of a patient’s physical status‚ which is the ground for any further treatment. The assessment method that an Advanced Care Paramedic follows is a systematic assessment referred to as the Primary Survey. The aim of this fundamental assessment is to give an initial diagnosis of the patient as well as identifying any imminent threats to the patient. This assessment is used so that a Paramedic
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TBI in Early Childhood: Impact of Early Intervention on Childhood Development TBI in Early Childhood: Impact of Early Intervention on Childhood Development Traumatic brain injury (TBI) is a growing concern for children in their preschool years. Children of young ages undergo many developmental changes during the ages of two through five. These changes are significant for their growth and maturity. They include cognitive‚ social‚ and behavioral development as well as development in executive
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