{"id":435493,"date":"2018-05-11T22:28:06","date_gmt":"2018-05-11T22:28:06","guid":{"rendered":"https:\/\/essaypaper.org\/discuss-in-essay-format-the-out-of-hospital-management-of-one-of-the-patients-described-below-choose-either-the-cardiac-or-respiratory\/"},"modified":"2018-10-24T08:51:07","modified_gmt":"2018-10-24T08:51:07","slug":"discuss-in-essay-format-the-out-of-hospital-management-of-one-of-the-patients-described-below-choose-either-the-cardiac-or-respiratory","status":"publish","type":"post","link":"https:\/\/www.benedictsol.com\/blogs\/discuss-in-essay-format-the-out-of-hospital-management-of-one-of-the-patients-described-below-choose-either-the-cardiac-or-respiratory\/","title":{"rendered":"Discuss, in essay format, the out\u2014of\u2014hospital management of ONE of the patients described below (choose either the cardiac or respiratory"},"content":{"rendered":"
\n

Discuss, in essay format, the out\u2014of\u2014hospital management of ONE of the patients described below (choose either the cardiac or respiratory
patient). Include the following:
1. An explanation of the pathophysiology of the chosen pathology, particularly as it relates to this patient. Include a short discussion of
the epidemiology and associated risk factors.
2. Correctly and systematically interpret the 12\u2014lead ECG provided. Comment on if, and how, this would guide the management of this patient.
3. Comprehensively describe the out\u2014of\u2013 -hospital management of this patient. This should not be based solely on any one jurisdiction\u2019s
protocols or clinical practice guidelines; instead you should discuss the general management, referring to national and international guidelines
and literature. Include any controversies\/differences in management (again, ensure you reference your discussion), and consider
regional\/geographical\/hospital differences that will impact on management.
4. Discuss the ongoing in\u2014hospital care that this patient is likely to receive, as well as their prognosis and any potential complications of this
clinical episode.
5. Your essay should be in essay format, that is, it should include an introductory and summary paragraph, other paragraphs should each
introduce a \u2018new\u2019 idea in your discussion (you may use sub\u2014headings), all tables and diagrams must be referred to in the text (as well as
referenced if they are taken from elsewhere). If you use bullet points, use them sparingly and only as necessary. Check your spelling, and check
your grammar. Use Vancouver referencing.
6. Please use 12\u2014point font and double spacing. All comments will be made on the paper.
7. DO NOT plagiarise \u2013 you MUST acknowledge all other sources.
8. If you are not sure what is required, email me or make an appointment. Better to be sure than sorry.
CAA 206 Assessment Task 3 \u2013 Case Study
Patient Care Record \u2013 Ambulance Service (Patient 1)
Name: Amit Singh Date of Birth: 21\/01\/1960 Age: 58
Presenting Complaint \u2013 Chest pain and vomiting.
History of Presenting Complaint \u2013 Patient works as an NBN installer and is travelling for work. He became ill while working at a remote
property, the client called triple zero immediately. Mr Singh describes a sudden onset of nausea and vomiting with pain in his chest, left arm
and jaw thirty minutes ago. The bystander describes Mr Singh quickly becoming pale and sweaty before vomiting.
Past Medical History \u2013 Hypertension, hypercholesterolaemia and type two diabetes mellitus.
Drug History \u2013 Perindopril, atorvastatin & metformin. Taken daily as prescribed.
Allergies \u2013 None known.
Family History \u2013 Father died aged 57 of a \u201cheart attack\u201d, brother had \u201cstents\u201d aged 58.
Social History \u2013 Lives in Canberra with his wife and two children aged nine and eleven. Sedentary lifestyle travelling thousands of kilometres
each week. Diet appears poor, consisting of take away foods high in fat and sugar as he eats away from home. Twenty pack year smoker, quit
ten years ago. Mr Singh\u2019s extended family live in India, he is engaged with his community and has many friends at his local Sikh Temple where
he worships. Both parents were born in India, as was he, moving to Australia at age nineteen.
On Examination
Patient has capacity and consents to assessment.
Pain using SOCRATES:
Site: Central chest pain with discomfort in left arm and jaw.
CAA 206 Assessment Task 3 \u2013 Case Study
Onset: Sudden onset thirty-five minutes ago while completing paperwork.
Character: Chest pain is described as \u201cheavy, like someone sitting on my chest\u201d. It is constant and this is the first time he has experienced this
pain. He rates severity as 7\/10.
Radiation: A tingling\/numbness is felt in the left arm and jaw.
Associated symptoms: Nausea, vomiting, pallor and diaphoresis.
Timing: Thirty-five minutes of persistent non changing pain.
Exacerbation\/relief: Pain remains the same on deep inspiration, palpation and movement.
Focused assessment:
Inspection: Pallor, diaphoresis and in obvious discomfort with some anxiety. Vomit appears normal with no blood.
Palpation: No abnormalities detected.
Percussion: No abnormalities detected.
Auscultation: No abnormalities detected.
Observations:
AVPU scale: Alert. Orientated to time, place and person
Respiratory rate: 18
SpO2: 97% on air
Heart rate: 104bpm (regular, taken radially)
Blood pressure: 142\/87
Blood glucose: 8.4mmol\/dL
Temperature: 36.4oC
ECG recorded on next page.
It took you 30 minutes to reach the patient. The nearest Emergency Department is a small hospital with no cardiac facilities and is 45 minutes
away. The nearest pPCI facility is 3 hours and 50 minutes away. The helicopter can not fly due to weather surrounding the airport.
CAA 206 Assessment Task 3 \u2013 Case Study
Name: Amit Singh Date of Birth: 21\/01\/1960
CAA 206 Assessment Task 3 \u2013 Case Study
Patient Care Record \u2013 Ambulance Service (Patient 2)
Name: Ben Henderson Date of Birth: 12\/10\/1992 Age: 25
Presenting Complaint \u2013 Difficulty breathing.
History of Presenting Complaint \u2013 Ben has a twelve-hour history of increasing difficulty in breathing while at home having called in sick for
work as a software developer as he woke with dyspnoea in the night. His boyfriend called for an ambulance on arriving home at 17:30 as Ben
could not speak and appeared \u201cblue\u201d. Over the past week Ben has had a cough and increased the use of his rescue medication. Today he has
used his inhaler \u201ca lot\u201d and has felt little to no relief.
Past Medical History \u2013 Asthma, eczema and hay-fever.
Drug History \u2013 Salbutamol, beclometasone. Previously has taken courses of prednisolone.
Allergies \u2013 None known.
Family History \u2013 None relevant.
Social History \u2013 Lives with his boyfriend in a city apartment. Employed. No recreational drug use, non-smoker and occasional alcohol with
friends. Exercises and has regular contact with his asthma nurse.
On Examination
Patient has capacity and consents to assessment.
Primary survey:
Airway \u2013 Clear.
Breathing \u2013 Rapid rate, central and peripheral cyanosis with audible wheeze without auscultation.
CAA 206 Assessment Task 3 \u2013 Case Study
Circulation \u2013 Rapid pulse.
Disability \u2013 Alert on AVPU scale and appears exhausted.
Exposure \u2013Tripoding position.
Focused assessment:
Inspection: Tripoding position, cyanosis to lips.
Palpation: No abnormalities detected.
Percussion: No abnormalities detected.
Auscultation: Globalised expiratory wheeze.
Observations:
AVPU scale: Alert. Orientated to time, place and person, appears exhausted.
Respiratory rate: 34
SpO2: 90% on air
Heart rate: 150bpm (regular, taken radially)
Blood pressure: 119\/75
Blood glucose: 5.4mmol\/dL
Temperature: 36.8oC
ECG recorded on next page.
It took you 12 minutes to reach the patient. The nearest Emergency Department is a metro hospital with all facilities and is 15 minutes away.
CAA 206 Assessment Task 3 \u2013 Case Study
Name: Ben Henderson Date of Birth: 12\/10\/1997<\/p>\n

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Discuss, in essay format, the out\u2014of\u2014hospital management of ONE of the patients described below (choose either the cardiac or respiratorypatient). Include the following:1. An explanation of the pathophysiology of the chosen pathology, particularly as it relates to this patient. Include Read More …<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[144,16,145,146],"tags":[],"class_list":["post-435493","post","type-post","status-publish","format-standard","hentry","category-academic-papers","category-academic-writing","category-academic-writing-service","category-academy-management-assignment-help"],"_links":{"self":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/435493","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/comments?post=435493"}],"version-history":[{"count":0,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/435493\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/media?parent=435493"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/categories?post=435493"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/tags?post=435493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}