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Retrieval medicine - Essay Example

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Retrieval Medicine College Name Pre-hospital retrieval Case 1 Pre-hospital plan includes designation of responsibilities of the whole team. This must be done in a brief and concise way. Members of the entire team must be aware of their designated responsibilities once they arrive at the scene…
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Retrieval medicine

Download file to see previous pages... These members are responsible for checking involved vehicles for possible combustion and explosion. All personnel are to bring and wear their personal protective equipments (Curtis & Ramsden, 2011). It is of utmost importance that the members of the rescue team are able to protect themselves through wearing their respective PPEs. The nearest facilities such as trauma centre and hospital must be pre-informed regarding the event. Despite the possible scarcity of the details regarding the incident, information must still be relayed to the centres which are more likely to receive the injured. The time frame to perform extrication, assessment and stabilisation must also be estimated. It is more convenient to perform rescue operations such as extrication when the weather is not hazardous. A rainy weather can add risks to the conduct of rescue. Example of such risks includes slippery grounds that may pose as a threat to safety of both the victims and the team (Beebe & Myers, 2011). Upon arrival, safety of the scene must be established first, prior to the rescue team’s approach to the victims. Continuous assessment of the situation is needed (Caroline, 2010). Immediate mobilization of police to keep bystanders off the area must be implemented. Members of the rescue team will not be able to function optimally when the crowd is around. Securing a definite perimeter will not only enable the rescue team to function, but it will also avoid addition to the injured persons. Traffic rerouting is also important, especially, if there is a need for extrication. It is much better that less people gather around the scene. All members of the team must wear their respective PPEs to protect themselves while they perform their duties. Changes on the pre-hospital plan are communicated precisely with all members of the rescue team. Immediate assessment of the patients is done through triage (Caroline, 2010). Based on assessment, patient 2 is the most critical and therefore must be attended immediately. Decreased air entry on left lung field entails immediate support of airway through intubation. The patient’s rigid abdomen and bruised pelvis can be an indication of internal bleeding. Fluctuating vital signs as evidenced by systolic BP of 90 and decreased consciousness (GCS=6) is indicative of shock and requires immediate transfer to a hospital. Hence, air retrieval operation must be prioritized to patient 2. The rescue team must be aware that patient 2’s condition is minutes away from irreversible deterioration. Coordination with the trauma centre must be urgently facilitated. An intravenous line is started and plasma expanders are given to prevent ongoing hemorrhagic shock to progress. Whenever possible, blood for transfusion should be coordinated and prepared to facilitate immediate transfusion. Absent vital signs and open skull fracture are indicative signs of severe intracranial injury and death of Patient 1. At this point, cardiopulmonary resuscitation may be deemed as unnecessary due to three facts: first, the patient lacks vital signs, second, due to the obvious extent of brain damage and third, in consideration of the time that has elapsed since the accident. In some cases, cardio pulmonary resuscitation may be performed, although attempts ensure zero benefit. In this case, scarcity of the resources and the patient’s condition are all important key points in deciding not to proceed with CPR (Miller & Truog, 2011). Authorities must be informed. Keep in ...Download file to see next pagesRead More
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