HEM2033: Health Sciences Division -EMS Applied Pharmacology - Medical Science Assignment Help

Assignment Task

ASSESSMENT TASK:

You are dispatched to a patient at a buidling site. On arrival you find a 42-year-old male patient that has fallen off of a building. On initial examination you find the following:

• General impression of the scene – you can see he is unconscious and lying on his side. There is a pool of blood next to his side and it appears he has not moved since he fell. He landed on a concrete floor and his colleauges say that he fell from the 5th story.
• Airway – threatened due to reduced level of consiousness
• Breathing – present, irregular
• Circulation - present, thready
• Disability – clear femur and hip fracture.

You conduct secondary survey and find the following:

• Head – laceration on his frontal lobe, bleeding slowly.
• Face – crepitus felt on his zygoma and his mandible is unstable.
• Pupils – unequal, right pupil slogishly reactive to light, and left eye, briskly reactive.
• Neck – no injuries found, no stepping and trachea central.
• Chest – reduced air entry on the left side, clear on the right. Chest wall unstable.
• Abdomen – rigid
• Pelvis – unstable
• Lower limbs – clear femur fracture right side. Left, stable no injuries.
• Upper limbs – no injuries found

You do vital signs and find the following:

• NIBP – 102/56 mmHg
• HR – 154 bpm
• RR – 25 bpm
• GCS – 6/15 (2 E’s, 1 V, 3 M)
• HGT – 5.2 mmol/l
• CRT - >2 s

You are unable to get a medical history from the patient because he is unconscious, however, his colleagues say that he takes blood pressure medication.

In no more than 1000 words, answer the following questions:

1. Provide a summary of the areas where fluid is located within the body. In your answer, provide a brief explanation of the forces involved in movement of fluid within the body.
2. Provide a priority for the patient, and explain your answer.
3. Provide a comprehensive fluid strategy for the patient. You strategy should include volumes to be infused, rate of infusion, and clinical goals of your fluid administration.

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