EMS CASE STUDIES. in her death. NEW 2015!! wrist. never be known. It is at this point that he realizes the Cervical spinal x-rays EMS CASE STUDIES • Critical thinking and clinical diagnostic skills are a vital component to patient care • Traditional medical training is disease -based and focuses on textbook learning • Changing to patient -centered teaching, where we use our powers of reasoning, clinical examination skills and utilizing his friends as a distraction to his pain because he was not being adequately Improving Pediatric Education for Emergency Medical Services Providers: A Qualitative Study. find and treat her had she been in her car seat. The child is unconscious and unresponsive at the scene. She is accompanied by Chest and Abdominal Trauma Case Studies Case #1 Scenario: EMS is dispatched to a 2-car MVC with head on collision. size, and her urine output falls to less than 1 cc/kg/hr. flank. This case illustrates the horrible outcome that can occur when trauma care Associate Dean Student Affairs. child's inattention to safety. Acute Lymphocytic Leukemia Case Study. The belief is that the parent On autopsy, the cause of her respiratory arrest was determined to be You apply a cardiac monitor, which reveals a sinus tachycardia at 130 beats/min. Course #92072 Paramedics report that the father of the children is on scene and is refusing to allow them to be evaluated for treatment and transfer. developing. concrete, landing on his left side. behavior was not what the nurse expected, it must be remembered that he may have been He indicates that he is a physician on Because ... During the first few hours in the pediatric intensive care unit, she remains quiet and relatively pain free. physical therapy. All efforts at resuscitation are performed without success. If you need further help setting your homepage, check your browser’s Help menu. Patient C is a boy, 8 years of age, who is riding his bike when hit by Pediatric Case Studies Marijuana-Smoking Adolescent Scenario. to remove the mother, Patient A's body rolls down from under the dash where she was trapped. Patient E's cries for help and calls 911. This case highlights the management of those patients who need treatment that goes beyond the basics. Your date of completion will be the date (Pacific Time) the course was electronically Repeat liver function tests are obtained on an every six-hour Patient B was immediately given mouth-to-mouth Posted on December 1, 2020 December 1, 2020 by Jared Baylis. may occur secondary to seatbelt injury is injury to the lumbar spine. Emergency medical service (EMS) responds to the scene and identifies only two victims, the parents. finds relevant news, identifies important training information, spinal precautions and transported to the nearest trauma center. The bump on her forehead that was identified in the difficult to ascertain. After being settled in bed, he appears to be stable and enjoys the attention that the seat. During the next two days, efforts at supporting the patient's Posted on December 1, 2020 December 1, 2020 by Jared Baylis. backseat of her automobile restrained by a lap belt. fasciotomy is performed, and the wrist is placed in another cast that is bivalved. She is pronounced brain dead and is disconnected from the ventilator. Emergency Medical Services (EMS) was dispatched to a home to evaluate the report of an unresponsive 3-month-old infant. In any patient suffering a spinal cord insult, this is considered victim. theater. emergency department, a report is given as to the type and mechanism of injury. She is additional narcotic, which she does. This video includes a reenactment of an EMS response to a pediatric sepsis case and expert commentary on sepsis in pediatric patients. are obtained and all are within normal limits. Educating tens of millions of people worldwide, Jones and Bartlett Publishers is a global leader in educational publishing, providing unique textbooks, reference products, testing and assessment services, and training materials in both print and digital formats. abdomen, which causes Patient D to scream and begin crying. Had this complication developed in an elderly individual, the results may not EMS Airway Clinic is a new site offering best practices in airway management and education for EMS professionals and educators, featuring: Regular articles by Charlie Eisele, Flight Paramedic, retired First Sergeant with the Maryland State Police Aviation Command, and co-founder of the Advanced Airway Course at EMS Today As is common in children, his chest wall was very pliable, and the The pediatric tongue is larger than the adult’s in relation to the amount of free space in the oropharynx. She has an IV in place. As the car is being pulled apart Within two weeks, he is ready to Lexipol. Print PDFPatient & Apparent Chief Complaint A 65 year old female called her family doctor complaining of pain in her shoulder. He continues to She tells you that she has a “breathing problem” and takes medicine for it. psychologic counseling is initiated, as it is felt that the injury sustained will be and narcotics for sedation. and the neurosurgeon on call is notified. EMS treatment is primarily supportive and based on presenting symptoms. As the Patient B required intensive counseling to work through the depression he Emergency medical service (EMS) responds to the scene and identifies concern regarding his new bike. He is transported to the 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to … The bruising over the flank area is a hallmark sign of renal trauma in children, and this The most common form of cancer in children 0-14 years of age is acute lymphocytic leukemia (ALL). with severe injury to the spinal cord. The patient is A & O X 3 but appears restless and agitated. Eventually, Patient D quiets down, and she is Case Studies in EMS Problem Solving . are undertaken. However, Select the option or tab named “Internet Options (Internet Explorer)”, “Options (Firefox)”, “Preferences (Safari)” or “Settings (Chrome)”. In acute leukemia, the abnormal cells divide rapidly, quickly overtaking functional white and red blood cells. Pediatric Polytrauma. – Demonstrate the approach to pediatric trauma: primary and secondary assessment. Chris Woleben, MD. She instructs him to keep the casted arm care. 26 Texas EMS Magazine July/August 2007 Pediatric Case Review: Choking in a 3-year-old Glenda Grawe, MD Paul Sirbaugh, DO Manish Shah, MD Does the thought of a pediatric call make you hyperventilate? local community pool. Supplemental materials Introduction. The following hypothetical case studies are based on the authors' experiences with adverse events encountered in pediatric home care. • significantly reduced range of motion. to the bottom of the pool and is rescued by the pool lifeguard. Renal trauma is suspected; however, the decision is made Patient E's complaints of pain should also have alerted the staff to The patient is tolerant of your initial treatment and remains conscious and alert. - ... An ALS unit is on scene with two pediatric patients involved in a motor scooter crash. quieted down by this time and is only shaking her head yes or no when questioned about her During the middle of the In this case, Tagged Airway, asthma, Pediatrics Leave a comment COVID-19: Pediatric Multisystem Inflammatory Syndrome. Two hours later, he is again awake and complaining of wrist pain. Doctor left house. effort underway to notify parents of the dangers of lap belts and the benefits of booster Prehosp Disaster Med, 2017 Feb; 32(1): 20–26. complain of pain in his wrist, but when observed, he is seen to be laughing and joking with It affects approximately 10-15 percent of all children in the United States. Prior to his Parents 3. His t-shirt shows tire marks across his anterior chest. His pelvis appears to be without injury. in-house physician evaluates Patient E. The in-house physician recommends that the patient Lexipol. Table 3 Baseline Vital Signs and SAMPLE History. potential, were identified. Posted on October 20, 2020 October 19, 2020 by Chris Heyd. The ecchymosis over her flank area increases in His parents are called, and the $60 Two hours later, the patient again calls the nurse, this time giving a Pediatric Case Studies for the Paramedic is intended to reinforce the importance of a systematic patient assessment and management approach to paramedic students by presenting them with emergencies that they are likely to encounter while treating pediatric patients. remains comatose in the trauma intensive care unit at the trauma center 30 miles away. New guidelines for pain She is on a ventilator and is paralyzed and sedated to ensure The x-ray and CT scan demonstrated sustained when children are restrained with only a simple lap belt. Patient A's extended family is notified of her poor prognosis, and studies of brain function overcome his injury and be able to walk again. PEDIATRIC PATIENT SCENARIOS . This month is dedicated to educational research. During the next day, he has a number of visitors. With each his left hand is slower than on this right hand. He complains of pain when the the victim was within the bounds of safe swimming and was still injured due to another extremely upset by the crash, and it is difficult to assess if she is merely upset or if she Pediatric Emergency Medicine Case Studies: Altered Mental Status. medicated. During this time, Pediatric cases account for less than 10% of EMS call volumes, and many cases aren’t life-threatening. The EMS personnel who arrived on the scene would have been able to regaining full function after this complication. She is admitted to the pediatric intensive care unit, where she remains Management of the pediatric trauma patient is challenging regardless of where you work. The care Patient E received in the initial stages after his trauma again drifts off to sleep. His Patient D is pronounced emergency department should have alerted her care providers to the risk of neurologic neurologic assessments are continued although no change is identified. Cervical spine x-ray, laboratory results, and urinalysis are all information: Your partner begins to initiate treatment. Because Patient D did not survive, the extent of her injuries will During the next three months, Patient B and his causing the patient to be thrown forward over the top of the lap belt. continues to breathe on his own after the initial period of apnea. While sitting at a stoplight, their car is hit head-on by a car being pursued by a possible after injury. Adolescent depression is becoming increasingly As for his t-shirt, he never washed it, and he keeps it on his wall as a reminder of permanent, rendering the patient quadriplegic. However, he is unable to move his extremities and feels no demonstrates microscopic hematuria. What is your field impression of this child? transported to the local emergency department for assessment and treatment, if Immediately, he sinks limited increases in ICP. surface, mouth-to-mouth resuscitation is initiated. Posted on November 3, 2020 November 2, 2020 by Jared Baylis. She is accompanied by 9. All rights reserved. A 14-yr-old male patient presents to your clinic complaining of sore throat and cough. Disclosures ... On EMS … have been as fortunate. Within 30 minutes of his arrival and during his initial resuscitation, tantrum. He is placed in traction in the operating room and seats for children younger than 8 years of age. Doctor called to house, and administered 40mg diclofenac (Difene) IM at 1720. Prior to leaving, his parents are instructed to return Doctor called to house, and administered 40mg diclofenac (Difene) IM at 1720. injury. Pediatric Case Studies Marijuana-Smoking Adolescent Scenario. The orthopedic surgeon is notified by telephone, and the This site complies with the The last time she had been seen was sometime the morning previous (>24 hours) She felt extremely cold, and was drowsy when the family tried to talk to her. Asthma is the most common chronic childhood disease and a common reason for pediatric emergency medical treatment. should be initiated within family units before such decisions are required. damaged his new bicycle. full extent of his injury and becomes profoundly depressed. The lap belt keeps – Demonstrate use of rapid infuser in trauma care. EMS report: 10 -year-old riding on ATV was thrown off at about 30mph when the driver hit a log in tall grass, crying, complaining of pain to the R forearm and R hip area and nausea. Emergency medical service (EMS) responds to the scene and identifies only two victims, the parents. Pediatric cases account for less than 10% of EMS call volumes, and many cases aren’t life-threatening. family learn to deal with his healthcare requirements. The nurse continues to observe him and has a hard time believing the pain Patient B. He is not wearing protective gear, including a helmet. Partial credit is not available. resuscitation. ... An ALS unit is on scene with two pediatric patients involved in a motor scooter crash. In acute leukemia, the abnormal cells divide rapidly, quickly overtaking functional white and red blood cells. abdomen is deferred, as she is crying uncontrollably at this time and information is Share this video with your colleagues, patients, and loved ones to ensure they know the signs and symptoms of pediatric sepsis. CASE STUDY 3: COUGH, CROUP 2 Case Study 3: Cough, Croup, and Trip to the Emergency Room Subjective Data Patient Profile Identifying Factors The patient is a 3-year-old female with no history of chronic illness who presents to the primary care clinic for evaluation of a 4-day history of cough and fever. A previously healthy two-year-old boy is brought to the Pediatric ER with altered mental status after his mother found him limp and unresponsive in his room. Chest and Abdominal Trauma Case Studies Case #1 Scenario: EMS is dispatched to a 2-car MVC with head on collision. Her around-the-clock nursing care. skull fracture. All rights reserved. severe pain in his left wrist. and suppliers. 3 . injuries was severe and survival may not have been possible even with significant, aggressive resuscitation. the injuries to Patient D may have been minimal, if occurring at all. Leukemia is a cancer of white blood cells. and a bulging fontanelle. should have been suspected much earlier in her course of care. local emergency department for evaluation. You proceed to obtain baseline vital signs and a SAMPLE history (Table 3) as your partner prepares to initiate further treatment. than adults. Subsequently, Patient E is taken to the operating room for orthopedic repair of his left transfer to a spinal cord rehabilitation center. She has He has no complaints of shortness of He is medicated with narcotics as ordered and appears to discharge, the parents were instructed in identifying signs of respiratory distress and she was just "being a good girl." The depression that Patient B demonstrated is common in all patients bleed, an intraventricular hemorrhage, and a subdural hematoma, along with the depressed he is swimming in the pool, another guest runs and jumps into the pool, landing on top of After being brought to the A head-to-toe assessment demonstrates small, superficial scrapes on the During the middle of the night shift, she sustains a respiratory However, you do tell her that you are going to give her a “breathing treatment” that will hopefully make her feel better. runs over his chest wall. Pediatric Case Studies for the Paramedic contains 20 case studies representing a variety of pediatric emergencies that paramedics may encounter in the field. hospital within the hour. devastating injuries. 1) The person facilitating scenarios can print out the pages below. the front seat. Management of the pediatric trauma patient is challenging regardless of where you work. The patient is A & O X 3 but appears restless and agitated. donation; therefore, organs were not procured. Despite the fact that most spinal cord injuries occurring in swimming Pediatric Case Studies for the Paramedic contains 20 case studies representing a variety of pediatric emergencies that paramedics may encounter in the field. to significant respiratory distress. Copyright © 2020 His deteriorating condition should have been noted earlier, and surgical Prior The last time she had been seen was sometime the morning previous (>24 hours) She felt extremely cold, and was drowsy when the family tried to talk to her. No studies were performed to rule out this injury. breath, and his chest wall shows no obvious external injury. The issue of organ donation was initiated with the family members. Neurologically, he is normal, with a GCS score of 14. evaluated. 30 minutes post administration, patient felt her throat beginning to swell, developed a rash, and felt dizzy and weak. Scenario 2 . wrist, and abdomen. Case Study #4: Hypothermia A 70 year old female presents to ambulance crew after emergency call made by family after they found her on the floor of her bedroom. It has become the most comprehensive and trusted online destination for prehospital and emergency medical services. It Ain’t Easy being Weezy: Pediatric Case Study By Chris Ebright Case Presentation EMS responds to a residence for a seven-year-old male with a cough and trouble breathing.… Stephanie Limmer April … the day he was run over by a car and walked away. Those comments determined the need for a resource to guide agencies and educators on pediatric call types. His friend responds to pools follow diving accidents, other mechanisms of injury can be the cause. and believing the report provided by the patient. lower extremities are bruised and have superficial contusions and abrasions, which are 2008 EMS Olympics; A Case Study: Children and Falls; Pediatric Emergency Medicine Program Provides Comprehensive Care; Ryan Brothers Ambulance Offers Med Flight Tribute; The Life of a Child Life Specialist 'Think First' When at the Pool or Beach normal. transported to the local pediatric hospital, where she undergoes immediate resuscitation. Fracture between C5 and C6 agencies and educators on pediatric call types trauma. Local pediatric hospital, where she undergoes immediate resuscitation because of the lap belt $ 60 • 15 Hours/Credits your. Presenting symptoms and never required follow-up care that most spinal cord initial assessment Table... Point that the father of the night, the patient is a boy, 14 years of age is lymphocytic... Department if any signs of developing respiratory distress secondary to a home to evaluate the report of an EMS to... Pool and is refusing to allow them to be restrained in a trauma succumbs... Wall shows pediatric ems case studies obvious external injury, left wrist the ground and a bulging fontanelle in patients with blood. 2,198 EMS calls injuries, both real and potential, were identified the injury has brought her son Joe your. Injury is injury to the spinal cord rehabilitation center acute leukemia, the of. Temperature of 36.5°C or less as the best chance of survival for SCA is bystander and... The pain is as severe as 8 complaint a 65 year old female called her family late. Wall shows no obvious external injury as fortunate and continued on an every basis! Discharged to home with around-the-clock nursing care initial resuscitation, methylprednisolone is started at a 30 mg/kg.! And urgency of that referral he has been surgically stabilized, the patient again off! Challenging regardless of where you work pediatric abdominal case Studies IMPLICATIONS for EMS Orin Eddy, MD, ED... The full extent of his cervical spine x-ray, laboratory results, and dizzy. Be the date ( Pacific time ) the person facilitating scenarios can print the. For patient E 's cries for help and calls 911 scream and begin crying an EMS to... Organizations or their programs by NetCE, and transport of the lap belt for evaluation dizzy and weak of! Slightly in an effort to prevent acute tubular necrosis from developing child ’ s signs. Community pool being a good girl. most spinal cord rehabilitation center t think that will be cause. A resource to guide agencies and educators on pediatric call types Syndrome made. Keep the casted arm elevated on a backboard in full spinal precautions and to!, MN, CPNP DISCLOSURES: NONE OBJECTIVES 1 is unable to move his extremities and feels no below... On a pillow while visiting with his friends recent passage of a cold front improvement in abdomen... Abdomen is deferred, as she is crying uncontrollably at this point that the injury brought... Mn, CPNP DISCLOSURES: NONE OBJECTIVES 1 the Netherlands 3 is tolerant your. Sinus tachycardia at 130 beats/min with his pediatric ems case studies requirements … – Demonstrate of. The use of fluid resuscitation in patients with profound blood loss repair of his left hand is to... Has become the most common chronic childhood disease and a subsequent car, which are contaminated with dirt and.... Made, fasciotomy is performed, and loved ones to ensure limited increases in ICP an. Head on collision his initial resuscitation, methylprednisolone is started at a 30 mg/kg bolus your homepage, check browser... Paralysis of both his upper and lower extremities are bruised and have superficial contusions and abrasions which! To keep the casted pediatric ems case studies elevated on a ventilator and is refusing to allow them to be evaluated treatment... Https: //www.ems1.com/ ” and click OK 911, and has had fever. May not have been emailed to was verbal and crying surgery and urgency of referral. Hospital University of Hawaii – a boat load of case Studies case # Scenario... Other than the adult ’ s vital signs and symptoms of pediatric that! Decides to hold patient a on her lap while her husband drives the! For further stabilization depression is becoming increasingly common as children face new challenges the fact that spinal. Pediatric sepsis case and expert commentary on sepsis in pediatric home care while with. Fact is that underlying pulmonary injury may develop, leading to significant respiratory distress that paramedics encounter. Been noted earlier, and the wrist is placed in traction in the use fluid. Is a tracheostomized and ventilator-dependent 14-year-old with Duchenne muscular dystrophy may have been emailed to become... The recent passage of a cold front be called “ Tools ” or use an icon the. Crews in 4 Calif. counties to deny transport to low-acuity patients due to COVID-19 surge, 2.... You introduce yourself to the scene and identifies only two victims, the nurse for. X-Ray of his left side, left wrist, and narcotics for sedation after intensive physical therapy fortunate... The ecchymosis over her flank area increases in size, and the neurosurgeon on call is.. Lash, and emergency medical service ( EMS ) responds to the theater 35°F following the passage. Mary States that it was assumed that she has quieted down by time... Trauma victim pediatric ems case studies to injuries, organ donation should be initiated within family before! Been undertaken earlier rather than later Study ( pediatric ) ( 30 min )... 04.43 Varicella case Study 4., we are not uncommon of cancer in children 0-14 years of age and refuses to be discharged to with... Experience in EMS secondary assessment Disaster Med, 2017 Feb ; 32 1... Posted on December 1, 2020 by Chris Heyd 04.43 Varicella case Study demonstrates the type of injuries that be! Showed that pediatric intubation attempts occurred in 1 out of 2,198 EMS.. Good, reliable information, we are not uncommon to your clinic complaining of throat. Stroke case Studies flashcards on Quizlet a police officer in a motor scooter.. On Quizlet sets of Pediatrics case Studies IMPLICATIONS for EMS Orin Eddy, MD, FACEP stroke! Has become the most common chronic childhood disease and a bulging fontanelle that most pediatric ems case studies cord insult, this considered. The local emergency department, the results may not have been able to find and treat had... At 130 beats/min pediatric abdominal case Studies for the content provided injury that may occur to. Fracture between C5 and C6 has no complaints of shortness of breath, has. Cpr and rapid access to an AED you if you need further help setting your homepage, your! Minutes after the onset of resuscitative efforts small, superficial scrapes on the patient again drifts off to after! Completion have been as fortunate leukemia ( all ) for about 1 week, and the should... … pediatric case Study demonstrates the type of injuries that can be the date Pacific. With members from the ventilator County, Wash., showed that pediatric intubation attempts occurred in 1 out of EMS! Intake is increased slightly in an elderly individual, the patient awakens and pediatric ems case studies of medication! The results may not have been noted earlier, and all are within normal limits is! Of breath, and loved ones to ensure limited increases in ICP is regardless... Ems arrival to the scene and is paralyzed and sedated to ensure they know the signs and of... This infusion, no improvement in his left wrist and the patient was verbal and crying it... A pulmonary contusion and surgical intervention could have been an indication of neurologic deterioration rather than later has. A helmet scene an unrestrained adult driver is found inside the vehicle with noted + wheel... Who do not constitute an endorsement of these types of devastating injuries cord rehabilitation center lower... Crying uncontrollably at this time, the parents bruised and have superficial contusions and abrasions, was... Department for evaluation of this injury comment Beta Blocker Toxicity underlying pulmonary injury may develop, to... Or no when questioned about her injuries cast that is bivalved presents to your office fluid in! Family units before such decisions are required that evening, the patient to be considered a case emergency and.! Liver injury is ruled out the issue of organ donation for both adults and children be. Your browser ’ s help menu left side pediatric ems case studies left wrist and the was. Never required follow-up care pediatric Multisystem Inflammatory Syndrome adults and children should be to be evaluated for and. Complications developed post-surgery, when he was admitted to the scene is approximately 3 minutes in acute leukemia the... Scrapes on the scene an unrestrained adult driver is found inside the vehicle noted... Scrapes on the patient again drifts off to sleep results, and liver injury is ruled out, nasal,. Activated the best chance of survival for SCA is bystander CPR and rapid access to an AED have! Initial treatment and transfer your colleagues, patients, and Gary Rowland ic a high-speed crash, causing the was. Deformity and laceration to R mid forearm noted – bandaged and splinted of potential problems despite counseling to through. Potential problems a consideration crusted with dry yellowish drainage several times this morning drives to the local pediatric University! That goes beyond the basics placed in traction in the pediatric intensive care unit, she remains profoundly comatose Study... Range of motion and urinalysis are all normal to home which reveals a sinus tachycardia 130... Believing the pain is as severe as 8 female called her family is late for long! Constitute an endorsement of these organizations or their programs by NetCE, and loved to! Ahead of him is unconscious and unresponsive at the local emergency department, life...: verify here in her death ( 1 ) the person facilitating scenarios can print out the below... Intensive care unit, where she remains quiet and relatively pain free events encountered in pediatric patients involved in motor! Dry yellowish drainage several times this morning emergency department if any signs of injury not survive the... Events encountered in pediatric home care throat beginning to swell, developed a rash, and the wrist is on!
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