case study for retrieval paramedic in australia

1.1: Using the information so far available, outline your clinical plan prior to arrival on scene.

Clinical Information:

• P: 120/min

• BP: 150/90 mmHg

• GCS 6 (E1 V2 M3)

• No Allergies

• No Previous medical history

• No current medications.

1.2: Briefly describe Patient selection criteria for RSI (Rapid Sequence Intubation), paying particular attention to the airway examination component and predictors of a difficult intubation.

1.3: Describe the key steps required in the performance of a Pre- Hospital RSI.

1.4 What are the risks and benefits associated with RSI in the trauma patient? Provide a critical assessment of your decision to RSI or not?

2.1: Describe the clinical picture you could possibly derive from the given information and what instructions would you give the attending paramedic crew prior to your arrival, if any?

2.2: What is your clinical plan and initial management? also briefly highlight any potential clinical deterioration that may be encountered ?

2.3: Describe how you will notify the receiving hospital of your planned arrival and how they might prepare for your arrival.

For all 4 incidents discuss key points in the allocation of a Doctor based retrieval team resource allocation to these incidents. Include in your answer:
1. Justification for activation or non activation based on the little information you have
2. Problems that may be encountered

3. Your actions to gain a clearer picture of the incidents

4. Critically analyze what your team mix may be and why.

4.1: Focusing on the principals of flight physiology, analyze how this patient could be affected and the measures you would take to
mitigate or eliminate any adverse occurrences.

4.2: Taking all the factors into consideration, critically justify your

choice of transport platform.

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