Paul Marston-head injury
VOCABULARY
crew: paramedics operating an ambulance.
helmet: head protection.
handlebars: part of a bicycle used for steering.
to complain of: to report a pain or illness.
nausea: a sense of feeling sick.
pre-school: before starting school.
alert: aware of everything that s going on.
tender(ness): hurts when you touch it.
gait: walking movement.
to trim: (to make) tidy.
brisk: sharp, immediately responsive.
ragged: not tidy.
transverse: from one side to the other.
laceration: cut.
Read the following case notes on a patient who has had an accident : The patient is ten-years-old boy called Paul Marston. The following information comes from him, his father and the ambulance crew.
History
On his way to school this morning, the patient was cycling down hill when he lost control of his bicycle. The front wheel hit the kerb and he flew over the handlebars. His head and right shoulder hit the pavement ( he was not wearing a helmet) and he was unconscious for about2 minutes.
When the ambulance arrived, he was confused but he was sitting up talking. He walked into the ambulance and vomited once on the way to the hospital. The patient s next memory is of being in the ambulance (i.e. PTA was approx 10-15 minutes). On admission he complained of having a headache all over. After vomiting, there was no nausea and he did not complain of pain anywhere else.
PMH
The patient takes no medications and does not suffer from any allergies. He had a pre-school tetanus booster 4years ago.
Observations and examination
The examination shows that he is a fit child, fully alert and orientated. He has a 5-cm ragged, transverse laceration across the left frontal region just below the hairline.
He has full movement in both eyes. Both eyes are strong and he has brisk reflexes. There is no tenderness in his neck, no sign of trauma to his left shoulder and no evidence of any other injury. Spine and chest are OK and he has no pain in his ribs the patient s abdomen is soft, pelvis is OK, legs are OK and he walks with a normal gait.
Diagnosis
The patient has suffered a minor head injury with a possible PTA of 15 minutes with laceration.
Treatment
The wound is cleaned, the edges of the wound are trimmed and the patient s head receives 6 Ethilon sutures. His father is advised to give paracetamol and to see Practice Nurse for the sutures to be taken out.
المادة المعروضة اعلاه هي مدخل الى المحاضرة المرفوعة بواسطة استاذ(ة) المادة . وقد تبدو لك غير متكاملة . حيث يضع استاذ المادة في بعض الاحيان فقط الجزء الاول من المحاضرة من اجل الاطلاع على ما ستقوم بتحميله لاحقا . في نظام التعليم الالكتروني نوفر هذه الخدمة لكي نبقيك على اطلاع حول محتوى الملف الذي ستقوم بتحميله .
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