Question

In: Nursing

36-year-old male had a traffic accident a few hours earlier which resulted in several open transverse...

36-year-old male had a traffic accident a few hours earlier which resulted in several open transverse and crush fractures of his right tibia and fibula. casualty suffered massive blood loss due to the open nature of his fractures

(a) What is the possible complication of massive blood loss in this casualty? Justify your answer.

(b) Explain the first aid management for this casualty.

Solutions

Expert Solution

A) The most possible complication in massive blood loss due to trauma is HEMORRHAGIC SHOCK ( hypovolemic shock)

HEMORRHAGIC SHOCK occurs when your body starts to shut down due to large amounts of blood loss, as body organs don't get the requires oxygen and other essential substances carried by blood.

The complications of hemorrhagic shock ( hypovolemic shock) are :

  1. Damage to the organs such ad kidneys and brain.
  2. Gangrene to the leg.
  3. Heart attack ( myocardial infarction).

B) Emergency care & First Aid:

  1. Call 911 if someone is bleeding heavily or having symptoms of shock.
  2. If the victim doesn't have head injury, neck injury or spine injury lay them on their back with legs elevated 12 inches from the ground.
  3. Do not elevate their head.
  4. Remove any visible dirt or debris from the injury site.
  5. Do not remove any stuck object in the wound.
  6. If there is no object stuck in the wound tie fabric such as shirt, towel etc around the wound to minimize the bleeding.
  7. Apply pressure to the site of injury if you can or tape the fabric.
  8. Do not drive to the hospital on your own if you are bleeding heavily.
  9. Wait for emergency personnel arrive.

Nightingale answered 1 year ago
Next > < Previous

Related Solutions

56-year-old male client received an open cholecystectomy three days earlier. He is recovering on the surgical...
56-year-old male client received an open cholecystectomy three days earlier. He is recovering on the surgical unit. During the morning assessment, the nurse auscultated diminished lung sounds anteriorly in the right lung base and the client complained of a cough. Vital signs are: blood pressure 138/89, pulse 126, respirations 26, temperature 101.1oF, and an oxygen saturation of 88%. The surgeon ordered a STAT chest x-ray, complete blood count (CBC), a basic metabolic panel (BMP), arterial blood gases (ABGs). Arterial blood...
A 28 year old is admitted to the hospital following a car accident in which several...
A 28 year old is admitted to the hospital following a car accident in which several bones were broken and third-degree burns (15% body surface area[BSA]) were suffered. The patient is able to consume solid foods but is frequently out of the hospital room for diagnostic tests or therapy when the food trays arrive. The effect on the patient's nutritional status would be: minimal during the first few weeks of recovery rapid depletion of body fat stores none; the patient...
Reza is a 23-year-old male who was involved in a motor vehicle accident. After the accident,...
Reza is a 23-year-old male who was involved in a motor vehicle accident. After the accident, he told the paramedics he felt extreme pain under his rib cage. He was transported by ambulance to the hospital, and the attending physician determined Reza had ruptured his spleen during the accident. He was scheduled for emergency splenectomy. Due to the severity of the injury, Reza had to have “open surgery” to remove his spleen. The surgery was a success. Reza was given...
Reza is a 23-year-old male who was involved in a motor vehicle accident. After the accident,...
Reza is a 23-year-old male who was involved in a motor vehicle accident. After the accident, he told the paramedics he felt extreme pain under his rib cage. He was transported by ambulance to the hospital, and the attending physician determined Reza had ruptured his spleen during the accident. He was scheduled for emergency splenectomy. Due to the severity of the injury, Reza had to have “open surgery” to remove his spleen. The surgery was a success. Reza was given...
Reza is a 23-year-old male who was involved in a motor vehicle accident. After the accident,...
Reza is a 23-year-old male who was involved in a motor vehicle accident. After the accident, he told the paramedics he felt extreme pain under his rib cage. He was transported by ambulance to the hospital, and the attending physician determined Reza had ruptured his spleen during the accident. He was scheduled for emergency splenectomy. Due to the severity of the injury, Reza had to have “open surgery” to remove his spleen. The surgery was a success. Reza was given...
J is a 64 year old male with R CVA ( cerebrovascular accident or stroke) with...
J is a 64 year old male with R CVA ( cerebrovascular accident or stroke) with L hemiparesis(complete paralysis of half of the body can be caused by stroke) . and neglect(not having any sensory loss to that side of the body) . The patient is currently hospitalized in the acute wing of the hospital. To return home to live with their spouse, J must be S with transfers and ADL Utilize universal precautions. Precautions: cardiac, fall, IV antibiotics delivered...
Patient Introduction Vincent Brody is a 67-year-old male admitted directly from the provider’s office several hours...
Patient Introduction Vincent Brody is a 67-year-old male admitted directly from the provider’s office several hours ago for exacerbation of his chronic obstructive pulmonary disease (COPD). He is maintaining O2 saturations at 94% on 2 L/min of oxygen per nasal cannula. IV of potassium chloride in 5% dextrose and normal saline is infusing at 100 mL/hr in his right hand. He has responded well to medications and treatments and appears to be resting. He continues to have a productive cough....
Patient Introduction Vincent Brody is a 67-year-old male admitted directly from the provider’s office several hours...
Patient Introduction Vincent Brody is a 67-year-old male admitted directly from the provider’s office several hours ago for exacerbation of his chronic obstructive pulmonary disease (COPD). He is maintaining O2 saturations at 94% on 2 L/min of oxygen per nasal cannula. IV of potassium chloride in 5% dextrose and normal saline is infusing at 100 mL/hr in his right hand. He has responded well to medications and treatments and appears to be resting. He continues to have a productive cough....
A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted...
A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team. 1.Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes. 2.Consider what adaptations would...
A 79-year-old woman had a femur fracture for which she had an open reduction with internal...
A 79-year-old woman had a femur fracture for which she had an open reduction with internal fixation (ORIF) surgery 6 weeks ago. She has been going to physical therapy (PT) but finds that her pain and anxiety prevent her from following the instructions provided by PT. She continues to take her oral opioid on an as-needed basis and believes that she cannot function without it. Her physical therapist suggests that she look into nonpharmacologic methods of pain management, including improving...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT