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Question


At 0300hrs , you are dispatched to Loyalist College for a pt who has been found outside. On arrival,

you are met by a group of nursing students w tell you that they have found a guy who looks like hes been beat up. They report that he is laying behind the residence buildings. As you approach the patient, you notice dropllets of blood on the snow. You observe a young male, lying on his stomach. As you approach, he makes no effort to communicate verbally. You ask your partner to maintain c-spine support as you begin your assessment.

Additional Patient Information

Assessment Finding

Level of awareness -Responsive to painful stimuli, with decorticate posturing

Airway-patent

Breathing-Shallow and slow

Circulation- irregular radial pulses

GROSS BLEED-Blood on face, neck, hands, and incontinent of urine and feces

Chief complain-Possible assault

Signs/symptoms-Possible assault

Allergies- Medical alert: penicillin

Medications- cannot optain

Past medical history-Cannot obtain

Last oral intake -Cannot obtain

Event leading up- cannot obtain

HEAD/NECK-Dried blood on both nares, multiple abrasions on left side of fae, swelling of the occipital and left parietal areas, and a possible fracture of his skull in that area

CHEST- Multiple abrasions on the left chest with possible rib fractures, but=a/e bilt a to b

ABDOMEN-Firm, rigid with abrasions

BACK-Unremarkable findings

PELVIS-Stable

EXTRIMITIES -Multiple abrasions on both hands. Decorticate posturing

Blood pressure-190/100

Pulse-45

Respiratory rate-8 shallow

PUPILS-5 pearl, slow

GCS-6

Blood sugar- 5.8mmol

SAT(spo2)-84%

SKIN-Pale, cool

QUESTIONS

1)Explain, Cushings Reflex (3points) and whether or not this patient is showing signs of it(2 point). What is the significance of these findings? (5 points)

2What is significant about the patients pupils? why are they like this(3points)

3)Why does this pt have decorticate posturing?(5 points)

***PLEASE WRITE FROM A paramedic prospective***

should be in Pathophysiology Insight with the abnormal vitals, what make the patients condition unique.

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