By James Whittle
Responding for all times is a self-directed learn consultant of case stories in emergency care. It integrates the theoreticial wisdom of prehospital emergency medication with the serious considering talents of overview and intervention. This straight forward source makes a speciality of a sytematic method of problem-solving emergency sufferer care.
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Extra resources for 911 Responding for Life: Case studies in Emergency Care
The call coming through 911 and given out by dispatch indicated a possible cerebrovascular accident (CVA). An elderly female was unable to be awakened. The building was a seniors’ residence and the ambulance crew found their way to 1109 (the last door to the left down the corridor of the eleventh floor). They were greeted by an elderly gentleman, Mr. Bathgate, who appeared quite distraught. His distressed appearance was enhanced by the fact that he was in the early stages of Parkinson’s disease and was exhibiting mild tremors in his hands.
Patients who are chronically ill (for example, with emphysema, cardiovascular disease, or diabetes), are more susceptible to cold stress. The very young—particularly infants, who as yet do not have the ability to shiver (a process of thermogenesis) as well as children who are not adequately protected from the elements—are also at increased risk from exposure. 4. c) Hypothyroidism, hypopituitarism, hypoadrenalism, and hypoglycemia are all failures of the endocrine system that can lead to decreases in heat production.
E) As vasoconstriction of peripheral blood vessels occurs in order to maintain warmth in the central circulation, the perfusion of tissues in the extremities decreases. As freezing continues, water in both intra- and extracellular tissues forms ice crystals, which disrupt the cellular integrity of the membranes. The destruction of cell membranes along with ischemia leading to necrosis is the pathology, which results in frostbite. 12. c) The most commonly affected areas of frostbite are the extremities, where very little subcutaneous fat is able to protect against the elements.
911 Responding for Life: Case studies in Emergency Care by James Whittle