CASE STUDY

CASE STUDY

CASE STUDY

Case Summary

Katrina case Compton, age 10 years, is a traveller in the front chair of a vehicle propelled by her mother. As they drag into the driveway of their dwelling, Mrs. Compton takes her base off the brake and unintentionally steps on the accelerator, dispatching the care soaring into a clay brick wall. Katrina case, who has unbuckled her chair band in anticipation of being dwelling, is ejected through the windshield. Mrs. Compton is not injure but Katrina case is lying still, halfway out of the vehicle on peak of the hood. When the volunteer firemen reach, they consider the following: body-fluid oozing from the left ear and from multiple, mainly superficial lacerations to face neck, barrel and top arms. She is unresponsive except to deep agony, PERL-sluggish with large allowance of body-fluid documented in anterior sleeping room of right eye. There is a deep laceration of left neck with important bleeding, avulsions of left scalp are from mid forehead to behind the left ear. A large ecchymotic locality wrappings most of anterior neck. FIR -98 R-16 with stridor and nasal flaring. B/P 88/50. She is granted Q2 per mask at 5 L/min as the fireman vork to eliminate more of the windshield in order that they can extricate her. When she can be shifted, a C-collar is applied. She is put on a back board with her arms and legs restrained. A bulky getting dressed to head and both ears and the neck wound is applied. Mrs. Compton is tearful and pale. A close by is comforting her and boasts to watch the Compton's other female child, Darcy, who is Katrina case's twin. Mrs. Compton notifies the fireman that she likes to delay to take Katrina case to the clinic to glimpse if she can get a plea assembly coordinated first. The firemen state that if they don't get Katrina case to a clinic she will certainly pass away and they advance to burden the stretcher into the ambulance.

Katrina case was conveyed to her localized community clinic ER where she was analyzed by Dr. Roe, a family perform physician. She remarks the next alterations from Katrina case's primary evaluation at the scene: R-9-12 declined peripheral pulses, HR-124, B/P 68/54, freezing, clammy, agitated and combative behavior. Coma scale-6. Multiple teeth missing lacerated gums, signifiant periorbital edema and facial edema. An television of NS at 50 mI/hr is started. Urine yield is 9 ml one time a foley is inserted. State labs were drawn: RBC-3,000,000, Hct-28, Hgb-8.5, p11-7.16, PCO2 60, P02 34, HCO3 24, Na 141, glucose 88.

It was determined by Dr. Roe not to eliminate the head getting dressed until Katrina case was in surgery with Dr. Rominger, a artificial surgeon, and Dr. Hall, a neurosurgeon. When the doctor proceeds to the waiting room to get a annals and to converse with Mrs. Compton about the imminent surgery she finds her in prayer. Mrs. Compton states that her belief accepts as factual that ...