Clinical Case Studies
GUIDELINES
You need to complete BOTH Case Study 1 and Case Study 2.
Word limit = 750 words per case 7
study
Sources should be taken from Australian and American Ambulance serviece 5.
Clinical Case Study
CASE STUDY 1
At 1300 on a
pleasant spring morning. you are called to a 6 year old who IS complaining of being a bit short of breath,
On arrival. you find that the
Batient is a six-year-old girl who has been attending a birthday party for a friend when his parents state that he became a bit short of
re ath and has since developed a rash. The patient had been eating chocolate at the party, with symptoms commencing within 15 minutes of
eating the chocolate.
Your primary assessment finds the following:
PAT,
Appears to hav e muscle tone, uninterested in
surroundings, increased work of breathing and red skin
AVPU
Opens eyesto voice
RR
32 regular
Auscultation
Persistent
cough and expiratory wheeze
Trachea
Midline
Effort
Increased
Spa-2
9296
Blood Loss
Nil external blood loss
noted
PUlse
132 regular
Skin
Red and itchy rash
ECG
Sinus tachycardia rate of I32 i
BP
lOOmml-lgfsystolrc
Central
capillary refill E
3 seconds
GCS
Eye opening to voice, confused v erbal response and obeyrng motor
commands
SOL
4 Emmolfl.
PUprls
Equal and reacting to lrght
Temperature
38 5°C
Pain
ONO
Erposure
Rash on both
arms and chest that looks Irke see the attached photo please.
Other Information:
No drug paraphernalia present
PH:
Asthma
Medication: Salbutamol, Flrxotide
Allergies: Eggs peanuts, prstachio and cashew nuts
Tasi;
l) Drscussthe
pathophysrologrcal process assomated With the patients presenting signs (r e why are the abnormal signs outside of normal
ranges)
2) What is your preliminary dragnosis for this patient and why?
3) Outline your rnrtral treatment (management) for this
patient and proud-e rationales backed by contemporary evidence for your interventrons
CASE STUDY 2
At 1000 on hot summers
day‘ you are drspatched to a 2 year old that lS unresponsrre
On your arrival, you are met at the door by an anxious parent who directs
(our to the lounge room where a 2 year old boy is laying in parents arms Hrs parents inlorm zou that he has become increasingly unwell
allowing the dragnosrs of a cold by their doctor two days ago He is usually an acrrv 9 child w 0 thus alternoon has become increasingly
irritable and sleepy
Your primary asse ssment frnds the lollowrng
PA T
Appears anxious, rrrrtable and lethargic. increased
effort of breathing slun is pale
AVPU
Opens eyes to pain (trapezius squeeze)
RR f
38
Auscultation
Egual air entry With no
a v entrtrous sounds
Trachea
Mrdlrno}
Effort
Increased
Soil-2
9396
Blood Loss
No obvious external blood
loss
Pulse
Brachral Pulse = 164 regular
Skin
Skin
Cool, pale, diaphoretic
ECG
Sinus tachycardia rate of tea
BP
95mmHg I
systolic
Central capillary refill
4 seconds
GCS
Eye opening to pain confused verbal response and Iocalisesto
pain
BGL
3 4mmolfl.
PlJprlS
Equal and reacting to light
Temperature
34 7°C
Pain
Unable to
obtain
Erposure
Nothing ol signrlrcance
Other Information
No drug paraphernalia present
PH: old symptoms and cough
for 8 days i
Medication none
Allergies states none known
Task
1) Discussthe pathophysmtogical process associated with the 55
patients presenting Signs (re why are the abnormal signs outside of ‘normal’ ranges)
2) What is your preliminary diagnosis tor
this patient and why?
3) Outline your treatment (management) for this patient and plO‘r ide rationales backed by contemporary evidence for
your interventions