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
Level of awareness -Responsive to painful stimuli, with decorticate posturing
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
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
EXTRIMITIES -Multiple abrasions on both hands. Decorticate posturing
Respiratory rate-8 shallow
PUPILS-5 pearl, slow
Blood sugar- 5.8mmol
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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