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Please select the correct language below. Add to folder [? Find out how you can intelligently organize your Flashcards. You have created 2 folders. Please upgrade to Cram Premium to create hundreds of folders! Flashcards FlashCards Essays. Create Flashcards. Share This Flashcard Set Close.Trauma Surgery: Initial Survey and Management – Surgery - Lecturio
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Upgrade Cancel. Study your flashcards anywhere! How to study your flashcards. Play button. Card Range To Study through. Mechanism of injury Environment Number of casualties Extra resources required. Initial approach. Overall impression, does the patient respond? C Catastrophic bleed check. If present apply remedial Tx. Tourniquet limb as required Celox gauze and quick clot to torso.
A Airway. Feel Look 12 Auscultation Percuss Tracheal deviation?Make EMS1 your homepage. Consider adding these often-encountered patients to your EMT or paramedic class's patient assessment drills or high-fidelity patient simulations.
I was reviewing a set of case studies for a high-fidelity patient simulation program. They were well-prepared and factual, and the signs and symptoms logically changed if the treatment progression was accurate. Like many patient assessment drills or simulations, these were scenarios for infrequently encountered traumatic injuries. Tension pneumothoraxfemur fracture and abdominal evisceration will probably be only a tiny fraction of the calls EMTs or paramedics run in their careers.
A large percentage of patients don't easily conform to a National Registry skill sheet or instructor throwaway lines like "load and go" or "stay and play. Spouse is unable to lift patient back into bed, and assistance is needed. Patient denies injury and refuses treatment. Spouse would like the patient transported.
Practice the lift assist and injury assessment. Discuss the conversation to encourage transport, but respect the wishes of the patient and the spouse, and document that transport was declined against medical advice. Patient is incontinent of urine, has not eaten for several days and is only aware of person and place.
Patient requests transport to most distant receiving facility for alcohol abuse treatment. Practice assessment of incoherent and poor historian and identifying other possible causes of altered mental status. Discuss risks of transporting to closest receiving facility versus the patient's preferred hospital.
An elderly patient frequently calls because she is weak and "shaky. During the history portion of the assessment she begins to quietly cry and confides that she is "terribly lonely. Discuss alternative community and social services for this patient.
Also discuss soft-skills approaches to treating this patient's emotional emergency. A caregiver reports that a feeding tube "has fallen out" of a patient who was paralyzed from a motorcycle accident. Patient needs transport to physician's office for tube replacement.People involved in trauma die immediately, within a few hours hypovolemia or within a few days.
Patient must be alert and stable — but complain of neck pain. The rule was designed to identify patients who are unlikely to suffer significant C-spine fractures.
Those who fit the rule will receive C-spine X rays. Designed to identify patients who have sustained minor head injuries requiring CT. In order to apply the rule, patients must meet the criteria for minor head injury witnessed LOC, definite amnesia, or witnessed disorientation with GCS ofthey must be older than 16 years old, have no history of bleeding disorder, and have no obvious open skull fracture.
Save my name, email, and website in this browser for the next time I comment. Notify me of new posts by email. Airway Assessment Look: obvious trauma involving airway mouth, nose, neckfailure of airway protection pooling secretions, absence of spontaneous swallowingangioedema, FB Listen: are they talking, what do their respirations sounds like i.
Sorry, your blog cannot share posts by email.You are seeing Cindy Albrecht, a 19 year old female, for amenorrhea. Please take a focused history for her complaint.
You are seeing Stacey Holland, a 23 year old female, for vaginal discharge. You are seeing Mrs.95337 zip code
Thompson, a 56 year old woman, in your outpatient clinic today. Take a focused history of her complaint and perform a focused physical exam. You are seeing Ms. Hamilton, a 64 year old man, for left sided back pain. Take a focused history of her complaint and perform a physical examination.
You are seeing Bill Byrd, a 40 year old man in your outpatient clinic because he recently noticed a testicular mass. Perform a full genital examination.
You are seeing Mr. Singh, a 72 year old female, in your outpatient clinic today.Patio door handle replacement parts
She tells you that she has discomfort during urination and has difficulty controlling her urine. Take a focused history of his complaint. Muller, a 45 year old female, in the ER for a new pneumonia. Please examine the patient and comment on his chest X-ray. You are about to see Mr. Singal in your outpatient clinic. He tells your nurse that he has recently noticed blood in his sputum. Take a focused history concerning his complaint.
Clark, a 30 year old woman, in the Emergency Department today shortness of breath. History Distinguishes primary vs. Tim Milligan November 16, Urology. Physical Examination Scrotum Inspects scrotum for asymmetry and skin lesions Palpates testicles bilaterally Comments on masses: size, location, consistency, tenderness, irregular shape Palpates epididymis for tenderness, enlargement Penis Inspects penis for erythema, swelling, deformity Palpates along penile shaft for irregularity Examines foreskin for signs of infection Exposes glans for inspection, and replaces the foreskin after completing the examination Examines meatus for discharge Hernias Palpates inguinal region bilaterally for presence of hernias Assesses for hernias with patient standing up Asks patient to bear down during palpation of scrotum Digital Rectal Examination States that a digital rectal examination would be performed as part of the genitourinary examination.
Tim Milligan November 16, Respirology. Uses percussion to estimate diaphragmatic excursion on posterior. Auscultation Instructs patient to breathe when auscultating States that they would auscultate both lung fields in at least 5 different locations Listens to at least one full breath at each location Auscultates posterior fields, asking patient to cross arms in order to shift scapulae out of lung fields.They are for private study only and may not be distributed in any form.
Resuscitation OSCEs. Advanced life support. The ALS scenario is understandably seen in the exam year after year. Scenarios may begin at any point from the assessment of the sick patient with an ABCDE approach who then deteriorates to cardiac arrest, to joining an arrest midway through or even being asked to come to review the post resuscitation patient and organising safe transfer.
The following breaks the typical ALS scenario down into stages. Candidates must … … more in purchased course package. Advanced paediatric life support. More than adult resuscitation, paediatric resuscitation scenarios have the added pressures of … … more in purchased course package. The seriously ill child. APLS scenarios may present the candidate with a seriously ill child who progresses into full cardiac arrest, for example, a septic child, fitting child or case of paediatric anaphylaxis.
This offers the examiner the opportunity to … … more in purchased course package. Advanced trauma life support. This may involve an adult trauma or an injured child — or commonly one of both! ATLS and APLS certification and study of the respective course manuals is therefore pre-requisite for understanding the correct approach to trauma in adults and children alike. ATLS scenarios follow a very similar structured template … … more in purchased course package.
Part 2. Leadership skills. How to demonstrate leadership skills.
4 patient assessment scenarios that are actually useful for EMS students
Although you may need to begin the station by acting as a team member and initiating the assessment and early management, at the first available opportunity you should … … more in purchased course package.
Part 3. Airway Assessment. Laryngeal Mask Airway. Late Pregnancy.A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes.
A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving.
A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn.Canon eos rebel t6 view pictures
Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! Clinical Examination. Anatomy of the Uterus.
Prescribing in Primary Care. Interpreting a Coagulation Screen. A collection of surgery revision notes covering key surgical topics. Hilum of the Lung. Spinal Cord Summary. A man with blood in his urine.
A man with testicular pain. Medical Student Finals Questions. ABG Quiz. Thyroid Pathology Quiz. Keith O'Donoghue. Tracheostomy Overview.
Jimmy Ng. Clay Kurtz. Kauser Yousuf. Dr Celestine Weegenaar. Dan Lindley. Will Freake and Dr Celestine Weegenaar. Grace Mckay and Dr Tim Graham.From a candidate point of view, the level of uncertainty of expectation and the need to perform relatively routine tasks under direct observation has led to very high levels of stress.
No doubt this is a challenging implementation issue for the college. Candidate — How do you pass!? How do i prepare!? Therefore, like any exam you can prepare and improve with practice and feedback.
As a candidate, there are some general rules that you should follow in any OSCE assessment. Marking students in a row gives a great insight into the exam from the assessors perspective. Things that have jumped out to me as an OSCE examiner as as follows:.
The following resources and links should help you prepare:. Thanks for the resources, Andrew! Do not wait until you get your mark for the written. Does it matter? I have always allowed my patients to sit up and move around after LP and have not had any issues.
We agree and evidence is on your side : Move around as tolerated Report any headaches Use blunt and small neeedes etc…. Meanwhile, another equally able candidate gets a short case exam with no Paediatrics, a straight forward aortic murmur, Pulmonary Fibrosis, Rheumatoid Hands and Liver Disease.
The aim of this page is to help answer the above questions. Share this: Twitter Facebook. Like this: Like Loading We have updated this page following recent events and publications by the college. Post to Cancel.
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