Assessment Introduction
• Reflection on relevance of topic to paramedic practice
• Give an overview of the assignment:
Is there a clear & central theme?
• Does the content relate to the central theme?
• Are ideas developed rather than just stated?
• Is the information clearly & logically organised?
• Is an understanding of the topic clearly demonstrated?
Assessment Body
• Aetiology Pathophysiology & Epidemiology
• Assessment and Pre-hospital Management (discuss supportive evidence)
• Definitive Care (discuss supportive evidence)
Recommendations
• Recommendations / Controversies
• Identify and discuss issues that are contradicting
• Critically analysis and discuss issues surrounding the case
• List recommendations that will improve the management, understanding or knowledge of the case
Conclusion
• Discuss your outcomes of the case
Case for analysis: Breech Birth
You are called to Karen, a 36 year old female, para (3), gravida (2), 37 weeks gestation in labour. Karen states she has been pushing for the last 10 min. Karen has not received any antenatal care because she states her other pregnancies were complication free. It is 1430 hours, Karen is positioned in her bathroom on all fours, and on examination you see a foot presenting.
Does not receiving antenatal care present a problem for you as a paramedic, explain your reasons? Are there any risks associated with vaginal breech birth, if so explain why?
What implications does a breech presentation have on your management of the case?
What position is best for Jane to get into when birthing a breech?
Karen has birthed, the baby has an APGAR SCORE of A1,P2,G2,A2,R1 at 1 min outline your management of the baby?
Observations:
Neurological Assessment
General Appearance: Flushed, in a lot of pain
LOC: Alert and orientated
Pupils: equal and reactive
Motor Function: Good power and strength in all limbs
Sensory Function: Normal
GCS: = 15
Respiratory Assessment
Rate: 24
Rhythm: Equal rise and fall of chest
Effort: Normal
Volume: Normal
Auscultation: Clear
Speech: Normal
Appearance: Flushed
CVS Assessment
Skin: Normal
History
Allergies: NIL
Last eaten: 8 hrs ago
Injury/Illness: NIL
Medications NIL
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