Posted: February 24th, 2022

The purpose of this assessment is to enable you to demonstrate your knowledge and understanding of emergency care related to the management of a complex trauma patient.

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Hi, I would like a Case analysis essay that is 2500 words.
This is the case:
The purpose of this assessment is to enable you to demonstrate your knowledge and understanding of emergency care related to the management of a complex trauma patient. This assessment focuses on current principles of injury assessment, trauma management, patient stabilisation and transfer of care. You will follow a critical patient presentation that you need to analyse and formulate a management plan based on clinical practice guidelines.
For this assessment, you are required to write a 2500 word, referenced case analysis that covers four aspects of the case: Write one introduction, answer all four parts and write a conclusion to summarise your work.
You are the registered nurse on duty required to assume the care of Mr James and perform the initial triage.
Luke James is a 22-year-old male brought in by ambulance, who was involved in a high-speed motor vehicle crash, when the car he was driving collided with a tree. He was found conscious but confused, still strapped in the seat and had no recollection of the incident.
You obtain the following information and observations:
M
Driver, high-speed injury, trapped in the car for more than 25 minutes. Needed to be cut out from the vehicle
I
Obvious right sided trauma with noted focal contusion over 5th/6th ribs
abrasion right upper quadrant and abrasion over the iliac crest
right leg deformity
intense pain on movement and unable to take deep breaths
S
GCS……. 12
SaO2…….92%
BP……….90/45 mmHg
HR……….130/minute
RR………..28/minute and shallow
Temp……36.10 Celsius
BSL……….6mmols
Pain………8/10
T
Cervical collar, IV fluids and Morphine for pain relief
2 intravenous cannulas left arm
Hx
Nil known
Part A – From the information provided above address the following points:
Briefly discuss the mechanism of injury and physical trauma you need to look for apart from the stated injuries
Discuss the immediate priorities of assessment and management of Luke’s clinical status
Part B – During your assessment, you note that Luke has a lot of pain in the head and neck area and intermittent tingling in his hands. The next set of observations show further fall in BP to 80/40mmHg, with oxygen saturation of 89%. He remains tachycardic. In view of Luke’s deterioration, you assess him for signs of shock.
Outline two possible causes of Luke’s shock. Briefly compare and contrast their pathophysiology
Discuss the appropriate management strategy required to stabilise Luke and prevent further deterioration.
Part C – Luke is treated with high flow oxygen but his O2 saturation remains low at 90%. His venous gases show that he is hypoxemic and acidotic. There is also a significant decrease of air entry on the right side of his chest. He has become responsive to pain only and his GCS is now 10.
Discuss the principles of airway and ventilation management needed to correct Luke’s respiratory failure.
Identify the likely thoracic injury, the required management and the associated nursing care
Part D – Luke was intubated, is sedated and mechanically ventilated. His vital signs have stabilised. A decision is made to transfer him to the closest trauma centre, located two hours away by road from your facility.
Explain the appropriate mode of transport for inter-hospital transfer.
Discuss the nursing considerations and management principles required to ensure a safe and efficient patient transfer.

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