Question

Scenario: Mrs. Fox, a 40-year-old wife and mother of 2, was involved in a massive motor vehicle accident (MVA) on the Sawmill Parkway in which her car struck the center divider and flipped twice. A Good Samaritan immediately dialed 911. First responders found the patient unconscious with severe injuries but were able to safely transport her to St. John’s Riverside Hospital. Upon arrival at the emergency department, Mrs. Fox was immediately triaged and the following impairments were found: blunt force trauma to the head, fractured jaw, fluid drainage from right ear, open fracture to the right leg, possible closed fracture to the right wrist/forearm, and internal bleeding to the upper right abdominal quadrant (possibly from the liver). Hospital staff was able to contact the patient’s next of kin (family) to inform them of her condition. Mrs. Fox was stabilized, imaging and tests were ordered/performed, and medically necessary surgical intervention was carried out. The patient was transferred to the ICU of the hospital as she continued to fluctuate in and out of consciousness and had difficulty breathing without the use of a respirator. Within a week, the patient fully regained consciousness, was able to breathe on her own, and was determined to be safe enough to be transferred to the general inpatient floor of the hospital. It was determined that Mrs. Fox had sustained a traumatic brain injury predominately affecting sensation and motor function to the right side of her body. She was placed on a restrictive diet and prescribed medication to treat her healing liver as well as diuretics to decrease the fluid compressing her brain. A pin was placed in the patient’s right wrist to fixate the fractured scaphoid bone. The right tibia was fixated with an intramedullary rod and pins. Neurovascular structures were repaired to the best of the surgeon’s ability; however, the prognosis of her right leg was undetermined based on the severity of damage.

Questions and Instructions:

Based on the case scenario, answer the following questions:



Good Samaritans are first responders that may perform CPR. 
True _____ False _____


First responders dispatched after 911 calls are Good Samaritans. 
True ______ False _____ 


Police officers, firefighters, EMT’s and Paramedics are required to be certified first responders. True _____ False _____


EMT’s and Paramedics provide the most extensive pre-hospital care. They can stabilize patients and administer drugs give, IV medications and interpret EKGs. True _____ False _____

Consent for the emergency care of Mrs. Fox was considered ‘informed’ because her family was made aware of her condition. True _____ False _____

Many health care professionals/specialist were be involved in Mrs. Fox’s immediate acute care.

Name at least 4 categories.

a.________________________________________________

b.________________________________________________

c.________________________________________________

d.________________________________________________

Considering the present scenario, name at least 4 additional health care professionals/specialist (not previously listed) that may be added to the acute care team treating Mrs. Fox in the coming weeks as an in-patient.

a._____________________________________________________________

b._____________________________________________________________

c._____________________________________________________________

d._____________________________________________________________

Briefly discuss in 250-350 words, (typed) why you believe the additional skills and services might be needed.

Answer 1

1. True. The good Samaritan are first respondent and they would inform the EMT and may perform CPR if they know to do.

2. False.

3. The police officer, fire fighters or EMTs should have an authorized identification badge which indicate their certification, no need further clarification on an emergency situation.

4. True. The paramedics staffs in the EMT are responsible for providing the initial treatment to stabilize the injured. They should monitor the vital signs of patient, Performm ECG, maintain IV drip.

5. False. The consent should be written legal document. So it should be properly signed by the authorised. So in case of absence of relatives or family, the Emergency Department Manager could sign the consent behalf of the relatives and clearly mention it in that also.

6. A. General Surgeon

B. Neuro surgeon

C. Orthopedic surgeon

D. Anaesthetist

7.

A. Neurologist

B. General physicians

C. Nephrologist, gastro-enterologist

D. Physiotherapist