The Paramedic Cases - Essay Example

The Paramedic CasesCase 1How are you going to manage this patient as the first crew responding?The primary assessments of this patient point to the fact that she is having low blood pressure which in this case is the major cause of palpitation. The first aid move should be to make the patient maintain the sitting position or make her lie down. In the case of lying down, I will make sure that the head is elevated by putting pillows underneath her head (Carline, Lentz and MacDonald, 2004, p. 100).

The next thing will be giving her electrolyte solution or a mixture of water and salt. In the recliner chair, I will raise the upper part of her body with minimal movement to avoid decreasing the blood pressure further. Additionally, I will cover her calf and thigh with elastic stockings so as to prevent blood form flowing to the feet and hence, maintain a high volume of blood in the upper section of her body (Thygerson, Gulli, Krohmer. & American Academy of Orthopaedic Surgeons, 2006, p. 121).

Describe how the patient is to be taken out of the house and placed on to the stretcherIn the first place, since the patient is conscious, begin by informing the patient that you need to transfer her from the recliner chair to a wheelchair so that she can be taken outside of the house to a stretcher (Spry, 2009, p. 59). The next step is to place one of your arm under the shoulder of this patient, and the other arm supporting her thigh on the opposite side. Count up to three then lift the patient carefully from the recliner chair to the wheel chair.

In case she is strong enough, allow her to participate in the movement with a lot of care not to cause a further decline in her blood pressure. Case 2 Since the patient is unconscious, there is little he can contribute towards his transfer from the bed to the outside of the house. The first move is to find stability on you. While the patient is still lying in bed, place one of your arm under the shoulder of this patient, and the other arm supporting his thigh on the opposite side (Landau-Stanton and Clements, 1993, p. 112). You need to makes counts up to three then swing the patient’s feet to one side of the bed carefully so that he is in a sitting position.

In that sitting position, ensure one of his arms is placed firmly on your shoulders while you are as well seated on the bed. Place one of your arms under his thighs to ensure that there is balance. Rise steadily lifting him with you and go through the stairs to the outside where a stretcher can be utilized. Case 3 In this case, a wheel chair will be of great help. Put a wheel chair at the base of the stairs and get the patient out of his bedroom to the wheelchair through the following procedure; place one of your arm under the shoulder of this patient, and the other arm supporting his thigh on the opposite side to get him in a sitting position on his bed (American Academy of Orthopaedic Surgeons, 2010, p. 83). With his arm on your shoulders, ensure that he leans on you to reduce the weight being put on his back.

Help him steadily down the staircase to the wheel chair. At this point, you can utilize the wheelchair to move down the concrete driveway leading to where the stretcher can be used. In making the move down the drive, ensure to frequently use the wheelchair’s brakes to avoid injury to the patient. Bibliography:Thygerson, A., Gulli, B., Krohmer, J. & American Academy of Orthopaedic Surgeons, 2006, First Aid, Cpr, and Aed, Standard, California, Jones & Bartlett Publishers.American Academy of Orthopaedic Surgeons, 2010, Emergency Care and Transportation of the Sick and Injured, California, Jones & Bartlett Learning.

Landau-Stanton, J. and Clements, C.D., 1993, Aids, Health, and Mental Health: A Primary Sourcebook, Volume 1, New York, Psychology Press.Spry, C., 2009, Essentials of Perioperative Nursing, California, Jones & Bartlett Learning.Carline, J.D., Lentz, M.J. and MacDonald, S.C., 2004, Mountaineering First Aid: A Guide to Accident Response and First Aid Care, Chicago, the Mountaineers Books.