Nurses Impact Lives Beyond

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Nurses Impact Lives Beyond: Case Studyd

Nurses Impact Lives Beyond:
Case Study
Nurses Impact Lives Beyond

Pre-hospital Phase:

It was cold and dark, when the helicopter was dispatched to a scene flight for motor vehicle crash with double entrapment one May morning at 0230. Two of the three patients, are unresponsive and in critical and unstable condition. This is the first encounter our patient would have with a registered nurse providing and directing his care. The nurse possesses both acute care and pre-hospital expertise and would work collaboratively with police, fireman, good Samaritans, EMT’s and paramedics to access the patient, provide timely triage, life -saving interventions and rapid transport to the closest trauma center. Each team member has a pre-defined and respected role; the nurse is the senior health care provider and assumes the leadership role with a calm, confident demeanor that is reassuring to the team.
This patient was a 25 year old man, unrestrained driver of a vehicle that hit a brick wall head-on at a high rate of speed. Of his two passengers, one of them is a brother, all require 20 minutes of extrication time from the severely damaged vehicle. After freeing our patient, the team works together to assess and stabilize him. His initial vital signs are worrisome, with a BP of 140/80, pulse of 160 and spontaneous respiratory rate of 8. The nurse assumes his care and quickly supports his respiratory rate by bagging and suctioning blood from his airway then inserting an ET tube to ventilate through. A team of 2 EMT’s assist to immobilize him on a spine board, stiff-neck collar, and CID blocks. The patient responds only by flexing to pain, no eye opening or verbalization. His noted obvious injuries are large head laceration approx. 6 inches in length, a head injury with his decreased level of consciousness, left…...

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