Sally Gray Year Explained for Students (Easy Guide)

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This question relates to sally gray year and requires a structured academic response.

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Original Question

Sally Gray is a 23-year-old woman who has been brought to the Emergency Department (ED) you are working in, by ambulance. Sally was surfing in a nearby beach when the wave she was riding caused her to launch approximately 10 metres in the air. Sally was witnessed to fall straight down landing on her head on firm sand. Paramedics responded quickly, assessed Sally and after undertaking primary assessment and stabilisation have taken her as a priority to your ED. They have applied a hard cervical collar and have inserted two large bore cannulae – one in each ante-cubital fossa. In addition to the history above the provide the following vital signs: Respiratory Rate 16rpm, SaO2 94% Blood Pressure 86/60, Heart Rate 45bpm, capillary refill > 4 secs Glasgow Coma Scale 12 /15 (Eyes – 3, Verbal – 4, Motor – 5) Swelling over C4/5 The secondary survey finds that Sally has no sensation below her neck and is unable to move any of her limbs. Following an urgent CT scan – Sally is found to have sustained a fracture of C4 (4th cervical vertebrae) and the scan appears to show spinal cord damage.Her blood pressure and heart rate remain abnormal. With reference to Sally’s apparent spinal cord injury:What is the condition called that is causing these her heart rate and blood pressure to be abnormal? What is the condition called that is causing these Sally’s heart rate and blood pressure to be abnormal? Explain the pathophysiology that is causing Sally’s vital signs to be abnormal. Discuss how this condition should be managed

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