Vishakha Bhatnagar
Cacee-Kaeden Cole
Erin Lilly
Bryant & Stratton College
Biol 110
Rosemary Stelzer
2014, March 20
Part I – The Slopes While enjoying a day on the ski slopes at Winter park the patient fell exiting the ski lift. Patient was able to get up unassisted however, as she adjusted her stance the knee “twisted” and she fell again resulting in an external rotation of the right knee. Patient reported no pain at this time, but due to instability she was transferred by Ski Patrol down the slope on a sled. For the patient’s body to maintain homeostasis throughout the duration of exposure to the extreme cold, thermo receptors within the skin activated sending signals to the hypothalamus. In turn the cutaneous blood vessels constricted and shivering commenced in an attempt to accumulate and produce additional body heat. (Minerva Union, 2011, ¶2). During the time of exposure to the extreme cold all distal extremities and any exposed tissues would be vulnerable to the occurrence of frostbite.
(Minerva Union, 2011)
Part II – The Emergency Room Upon arrival at the emergency room the patient was shivering which can be seen as an early indication of hypothermia. At this time the patient was instructed to remove her parka in an effort to avoid further heat loss, resulting from an accumulation of moisture from the conditions outdoors. To assist in regulation of homeostasis the patient was wrapped in blankets and given hot chocolate. Pulse was taken at the Dorsalis Pedis to check the patient’s circulatory response. (The EMT Spot, 2014, ¶7). Pain reported by the patient was localized to the medial surface of the right knee, noticeable inflammation present due to the leaking of fluids from compromised internal tissues. The patient’s presentation of symptoms are indicative to that of a potential medial collateral ligament and medial meniscus tear. (Healthline, 2014, ¶5). The medial
References: Southwest Orthopedic Group. (2013). What is the difference between x-rays, mri, and ct scans. Retrieved from: http://www.sworthogroup.com/general-orthopedic-faq/25-what-is-the-difference-between-x-rays-mri-and-ct-scan University of Michigan. (n.d.). Section 9: Ligament tendon structure. Retrieved from: http://www.umich.edu/~bme332/ch10ligten/bme332ligamenttendon.htm