Ealing with Fractured Neck Of Femur Injuries in a Pe-hospital Setting

The scenario the author will be writing about is that of 78 year old female found on the floor by the warden of her sheltered housing complex, second floor flat. The patient is normally fit and well and takes Metformin and Indomethacin. Indomethacin is a non steroidal anti inflammatory drug used for pain relief in osteoarthritis, and rheumatoid arthritis (Medline Plus 2009). Metformin is a type 2 Diabetic drug (diabetes.co.uk 2009) and lowers blood sugar levels in patients. Clinical examination revealed the patient to be complaining of pain in the right hip (the same as her usual arthritis pain). The left leg is however shortened and rotated. The patient is conscious and able to answer questions, although gets easily confused. Observations found are blood pressure of 100/60, pulse 52 beats per minute, respiration rate of 14 breaths per minute and unobtainable oxygen saturation.

the essay must answer the below learning outcomes
1.DISCUSS THE THEORETICAL BASIS FOR SPECIFIC CLINICAL PRACTISES ASSOCIATED WITH PARAMEDIC CARE
2.DEMONSTRATE ADVANCED CLINICAL SKILLSTO PARAMEDIC LEVEL.
DEMONSTATE
3.DEMONSTRATE THE ASSESMENT,DIAGNOSTIC,THERAPEUTIC AND TECHNOLOGICAL STRATEGIES USED IN THE HOLISTIC DELIVERY OF OUT OF HOSPITAL UNPALNNED CARE
4.PROBLEM SOLVE ISSUES AND DILEMMAS ASSOCIATED WITH UNPLANNED CARE.
5.DISCUSS THE KEY CONCEPTS OF PHARMACOLOGY IN RELATION TO ABOVE.
harvard style referncing