BIO260 Week 10 Case Studies - Musculoskeletal Disorders 2023/24

BIO260 Week 10 Case Studies - Musculoskeletal Disorders 2023/24 CASE 1: Trevor, an 18-year-old, arrives at the ER following a significant skiing accident. While racing his friend down the hill, he directly impacts a large tree at a high speed. He is brought to the hospital by ambulance with c-spine immobilization and strapped to a backboard. He complains of severe pain in his right thigh, pelvis, right shoulder and right ankle. While assessing Trevor, the nurse notes a deformed right shoulder, a very swollen right thigh with a laceration on it and a swollen right ankle. Past medical history: unremarkable Allergies: none Last meal: 4 hours ago Medications: none Immunizations: up to date including tetanus 3 years ago Initial vitals in the ER: Temp:37.2c BP:88/60 HR:128/min O2 sat97% 1) Discuss the concept and importance of the “primary survey” in a trauma patient. 2) Discuss in further detail the components of ABCDE in the primary survey. After completing the primary survey, a full assessment is performed plus x-rays of the cspine, chest, right shoulder, pelvis, right femur, and right ankle. They reveal no neck fracture but an anterior shoulder dislocation, a pelvic fracture, a mid-shaft femur fracture with air in the soft tissue and a soft tissue injury to the ankle with no fracture . . . . . . .