Paramedic Dispatched Respond Question & Answer Guide (With Explanation)

This question focuses on applying theory to practical scenarios.

What This Question Is About

This question relates to paramedic dispatched respond and requires a structured academic response.

How to Approach This Question

Focus on explaining concepts clearly and supporting them with examples.

Key Explanation

This topic involves paramedic dispatched respond. A strong answer should include explanation, application, and examples.

Original Question

Paramedic Qld You are dispatched to respond to a motorcycle collision that has occurred on a steep part of the road located within the Hinterland. Upon arrival you find a young male who has struck a road barrier. He has landed among leaves, large rocks, debris and branches. It has been identified that he was travelling at high speed. You evaluate the scene and identify the appropriate personal protective equipment. You evaluate the conditions and proceed with caution to approach the patient. The patient had not been wearing a helmet and you immediately observe that he has sustained significant head and facial injuries. His eyes are closed and he is unable to be alerted via verbal communication. His arms and legs extend when you apply painful stimulus. You conduct a primary survey and find that, although suffering from facial trauma, he appears to be breathing normally but at a slower than normal rate. During your secondary survey you find the following at 9.30am: • Pulse rate 118 • BP 100/68 • BSL 4.6 • Oxygen sats 92% • Temperature 35.9°C • EGC sinus tach • Chest sounds L=R clear @ rate 14 • Pupils are sluggish to react to light. You radio ambulance headquarters and request a rescue team be dispatched to assist with extracting the patient from the steep forestry terrain. The extraction will require a helicopter, as you identify that the patient will need emergency transportation to the closest hospital, which is located 60km away. As you wait for the rescue team to arrive, you apply a cervical collar and secure the patient on the long spine board. You radio the helicopter rescue team and advise them to prepare the stokes litter and update on their location. They update that the helicopter has a 7-minute estimated time of arrival. You continually re-evaluate your patient and relay your patient’s condition when speaking to the helicopter rescue team. Shortly after the rescue team arrives and you provide them with a handover report and assist with moving the patient onto the stokes litter. The patient is airlifted into the helicopter. 1. Describe in detail the pre-planning and scene survey you would consider and apply for this scenario. 2. List at least four (4) resources you would require for this scenario. Consider in your answer equipment, type of PPE, clinical resources and/or other services. 3. Provide a detailed explanation of the access and egress requirements for this scene. Consider real and potential safety issues. Provide a rationale for your response. 4. Discuss in detail how you would assess the patient. In your response, discuss what you would need to support patient assessment from arrival on scene to the debrief activity. List all processes and explain why you would implement these. 5. Identify at least four (4) types of injuries you would expect to see for this patient. Discuss the treatment pathways as per Queensland Ambulance Service CPGs. Case study 2 You are working to your full scope as a Certificate IV graduate. Someone presents looking pale, sweaty and looking scared. You introduce yourself to your patient. 1. What is the first assessment you conduct? State all of the components of this assessment and the information you are hoping to gather from it 2. Using the information below, sort it into the correct history-taking assessment framework. John woke up at 7am today and had gluten-free toast for breakfast (he is allergic to gluten). After breakfast he moved his bowels, which is when he noticed central chest pain/heaviness, radiating up to his left jaw. He also noticed some tingling down his left arm and was so nauseated that he vomited his breakfast. John immediately took his morning tablets of aspirin and Perindopril, which he takes for angina and hypertension. John tried resting but this didn’t help the pain. The pain was an 8/10 despite these medicines so he took 1g paracetamol and decided to present to you for further treatment. 3. From the information gathered, correctly make a pain assessment using the OPQRST framework. 4. You get out your kit and assess the patient further. You decide to conduct a perfusion status assessment. What are the components of a perfusion status assessment? What sort of specific information will you look for? 5. You have decided you would like to treat this patient for their chest pain. State two (2) key drugs in your scope of practice that are indicated for this patient’s presentation and list the following: • Indications for the drug • Contraindications for the drug • Side effects/adverse reactions of the drug. • Presentation of the drug (ie what does the medication actually look like) • Dose indicated for this patient, including any possible repeat doses Case study 3 Image transcription text You are working to your full scope as a Certificate IV graduate. You are approached by someone looking short of breath. After you conduct your initial assessment, you decide to conduct a respiratory status assessment. 6. State the compon… Show more You find the patient to have increased work of breathing, a rapid respiratory rate, and ‘expiratory wheezes’ when you listen to their lungs. 7. State the medical condition you believe this person is suffering from. As part of your response, include a short explanation of the normal anatomy and physiology and how your patient’s is affected by their condition You have decided to treat the patient for the medical condition you have identified. 8. State the primary drug used to treat this condition, including: • Indications for the drug. • Contraindications for the drug. • Side effects/adverse reactions of the drug. • Presentation of the drug (ie what does the medication actually look like) • Dose indicated for this patient, including any possible repeat doses Case study 3 You are working to your full scope as a Certificate IV graduate. You are beckoned to a patient who is lying on the ground, moaning incoherently with their eyes closed. When you attempt to rouse them using painful stimuli, they open their eyes and push your hand away but then close their eyes again. 9. You decide to calculate a GCS on this patient. Explain the purpose of a GCS and what score you would give them based on the information above. You decide to conduct a vital signs survey 10. List the six (6) vital signs you would take and the expected ‘normal’ values/ranges for each. After conducting this assessment you find that the patient has a BGL of 2.3mmol/L. 11. What is your diagnosis for this patient? Explain how this would contribute to their GCS level. You now need to treat your patient. 12. There are two (2) treatments available for your patient within your current scope. State the two treatment options. Decide which is more appropriate and explain your choice. Case study You are working to your full scope as a Certificate IV graduate. A 26-year-old female approaches you. She is hunched over, holding her right lower abdomen and appears to be in pain. You conduct a head-to-toe assessment. 13. Under the head-to-toe assessment, list the specific things you would be looking for in an abdominal assessment. Your pain assessment finds the following information: O = Sudden onset R) lower quadrant abdominal pain P = Standing up straight makes the main worse Q = Sharp, stabbing pain R = Pain doesn’t radiate S = 10/10 pain T = Onset 30 minutes ago, hasn’t taken anything. 14. What pain relief options do you have available for this patient? Include: • Indications for the drug. • Contraindications for the drug. • Side effects/adverse reactions of the drug. • Presentation of the drug (ie what does the medication actually look like) • Dose indicated for this patient, including any possible repeat doses. Your patient asks what you think is wrong with her. You know it is difficult to determine abdominal diagnoses without further imaging and tests at a hospital, but your patient is very distressed. 15. List the three (3) most likely causes for your patient’s pain. Take into consideration the patient’s gender and age when noting your answer. Case study You are working to your full scope as a Certificate IV graduate. You are enjoying your chicken satay lunch when your colleague suddenly makes a strange noise from the tearoom and you hear a thud. You find your colleague collapsed on the floor, pale with an extensive rash developing, and obvious facial swelling. You notice a smear of your satay sauce on the bench next to your colleague’s lunch. 16. What do you think has happened to your colleague? As part of your response, list the symptoms that have led you to make your conclusion. 17. Which drug do you have access to within your scope that can treat this condition? As part of the answer include: • Indications for the drug. • Contraindications for the drug. • Side effects/adverse reactions of the drug. • Presentation of the drug (ie what does the medication actually look like) • Dose indicated for this patient, including any possible repeat doses.

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