Paramedic Case Study
Assessment task 1
Case Study
Due 22nd April
50%
The major traumatic injuries that this patient may experience would be possible pelvic fractures, a lateral compression fracture, anterior posterior fracture (open book), or vertical shear fracture. Also combine would be hypovolaemic shock and a pneumothorax which could possibly develop into a possible tension pneumothorax.
The bony pelvis consists of the ilium (iliac wings), ischium, and pubis, which form an anatomic ring with the sacrum. Disruption of this ring requires significant energy. Because of the forces involved, pelvic fractures frequently involve injury to organs contained within the bony pelvis. In addition, trauma to extra-pelvic organs is common. Pelvic fractures are often associated with severe haemorrhage due to the extensive blood supply to the region (Copstead & Banastik, 2009).
Pelvic fractures are most commonly described using one of two classification systems. The Tile classification system is based on the integrity of the posterior sacroiliac complex (Guyton & Hall, 2011). * In type A injuries, the sacroiliac complex is intact. The pelvic ring has a stable fracture that can be managed non operatively. * Type B injuries are caused by either external or internal rotational forces resulting in partial disruption of the posterior sacroiliac complex. These are often unstable. * Type C injuries are characterized by complete disruption of the posterior sacroiliac complex and are both rotationally and vertically unstable. These injuries are the result of great force, usually from a motor vehicle crash, fall from a height, or severe compression.
The Young classification system is based on mechanism of injury: lateral compression, anterior posterior compression, vertical shear, or a combination of forces. Lateral compression (LC) fractures involve transverse fractures of the pubic rami, either ipsilateral or contralateral to a posterior injury (Guyton & Hall, 2011). * Grade I
Case Study
Due 22nd April
50%
The major traumatic injuries that this patient may experience would be possible pelvic fractures, a lateral compression fracture, anterior posterior fracture (open book), or vertical shear fracture. Also combine would be hypovolaemic shock and a pneumothorax which could possibly develop into a possible tension pneumothorax.
The bony pelvis consists of the ilium (iliac wings), ischium, and pubis, which form an anatomic ring with the sacrum. Disruption of this ring requires significant energy. Because of the forces involved, pelvic fractures frequently involve injury to organs contained within the bony pelvis. In addition, trauma to extra-pelvic organs is common. Pelvic fractures are often associated with severe haemorrhage due to the extensive blood supply to the region (Copstead & Banastik, 2009).
Pelvic fractures are most commonly described using one of two classification systems. The Tile classification system is based on the integrity of the posterior sacroiliac complex (Guyton & Hall, 2011). * In type A injuries, the sacroiliac complex is intact. The pelvic ring has a stable fracture that can be managed non operatively. * Type B injuries are caused by either external or internal rotational forces resulting in partial disruption of the posterior sacroiliac complex. These are often unstable. * Type C injuries are characterized by complete disruption of the posterior sacroiliac complex and are both rotationally and vertically unstable. These injuries are the result of great force, usually from a motor vehicle crash, fall from a height, or severe compression.
The Young classification system is based on mechanism of injury: lateral compression, anterior posterior compression, vertical shear, or a combination of forces. Lateral compression (LC) fractures involve transverse fractures of the pubic rami, either ipsilateral or contralateral to a posterior injury (Guyton & Hall, 2011). * Grade I