Accidental Injuries that Affect the Chest - Essay Example

A thorough and subsequent examination ensures that enough information is acquired before prescribing a particular treatment for the patient’s condition. The initial step is to ascertain the cause and identify management options and goals for pre-hospital medicine. Conferring to the prior description of the findings, it is evident that the patient is in stark pain from the kick sustained by the bull. The tightening of the abdominal muscles explains this. The abdominal rigidity is caused by the prior injury sustained for a kick.

This spontaneous body reaction automatically happens to aid in averting the discomfort that might be instigated by pressure on the abdomen. The flail segment on the right lateral chest wall with dyspnea indicates that the patient has difficulty breathing patients. Thus, the primary assessment method starts with evaluating breathing, the airway, and circulation. The patient’s Glasgow Coma Scale or GCS scores 15, which is pretty much standard and the SpO2 level, is regular as well, depicting the patient’s high level of consciousness.

The patient’s dyspnea can be attributed to panicking due to the accidental incident. The cold and clammy condition of the patient explains there might be a possible anxiety attack, internal bleeding or majorly low blood oxygen levels brought about by the shock on the patient. The unique and most advisable approach to resolving the patient's medical status would require assessing and stabilising the patient’s airway, breathing and circulation. Before a physical and medical history examination, this is the priority to identify further information regarding the patient’s status.

Subsequently, to effectively control the victim’s air circulation and breathing, the essential preference for the paramedic team would be mandatory to transport the patient to the nearest expertized and well-developed medical unit or high-end hospital with exceptional technology or equipment for conducting the required tests. The tests to be carried out would include constant and subsequent measurements of the heart rate and depth of inhalation and exhalation. A chest x-ray or MRI and CT would also ensure checking whether there are any internal injuries to the organs like the lungs and the ribs. Early sepsis or an indication of bleeding may call for surgical treatment (possibly a life-threatening crisis). Swift and well-timed transporting of the patient is advisable since of the danger of difficulties related to the patient’s inappropriate body status. Chest pains may also result in airway occlusion, which in most cases might result in a more severe outcome; for instance, one can end up with a heart attack or cardiac arrest.

A constant oxygen supply is vital to keeping the patient's cognitive ability, especially during transport, to maintain average blood pressure within the environment by ensuring that the blood cell function is kept active during air transport. The patient must be placed on a stretcher with limited upper body motion to minimize the possibility of renewing the chest or abdominal injury. This will be achieved via appropriate strapping.

In receipt of the patient, the hospital must be accordingly informed of the patient’s arrival and the severity of the patient’s grievances. An emergency team should be ready at the anticipated time of arrival and prepared to transport the patient to the emergency room for subsequent monitoring. The trauma crew at the hospice ought to evaluate the info offered by the paramedics describing the conceivable grievances grounded on the patient’s level of injury. Additionally, the hospice should be recommended to inform them of the requisite tools or necessary kit to carry out further tests like x-yay or MRI.