Compare and contrast the management and assessment of patient
4. The Case. Use Paramedic Guidelines across AUSTRALIA especially New South Wales.
You have been called to attend an 8-month-old female patient with breathing problems. It is 0300 in July (WINTER).
The case is 20 minutes from the ambulance station and 30 minutes to hospital. On arrival you find the front door open and locate your patient in her mother’s arms in the lounge room. They are sitting on a mattress on the floor. There is very little light and when you ask to turn the lights on the patient’s mother states there is only 1 light bulb and the others are not working.
The house is cold, there is no obvious heating. The patient’s mum notices you looking around and says she has been sleeping out here with her daughter because it is the warmest room.
The patient is quiet; she is looking at you but not responding to you in any other way.
The patient’s initial vital signs are:
• Flushed, warm, dry skin
• Heart rate: 120 BPM
• Respiratory Rate: 35/minute
• Bilateral inspiratory wheeze on auscultation
• Moist sounding cough
Using the above information, you are to write a case study essay covering the following:
1. Compare and contrast the management and assessment of this patient in relation to the following conditions: (refer to contemporary literature to analyse and critique at least three ambulance service clinical guidelines)
2. Discuss the pathophysiology of asthma, bronchiolitis and croup
3. Review and discuss current pharmacological management of paediatric asthma, bronchiolitis and croup (out of hospital and in hospital)