Title: Case Study 11-2 Shock Patient
Course: EMS 1119 Emergency Medical Technician > Section: Module XI Shock and Resuscitation

Type your answers in a Word or Rich Text document and upload. Each answer is worth 3 points for a 15 point total.

When discussing shock, emphasis is placed on patient assessment, signs and symptoms. Several patients are presented below. Review the three patient summaries below. Based upon your understanding of shock and its pathophysiology, answer the subsequent questions.

Patient A
A 25 year old male painter working on a ladder at a height of approximately 10-12 feet, fell onto a hotel lobby floor on his right side. He is conscious, alert, with no report of loss of consciousness. He is anxious and complaining of pain on the right. His radial pulse is 100, respirations 26, skin cool and moist. Both pupils are equal and reactive to light.

Patient B
Male patient (middle aged) at a seafood restaurant sitting on the toilet in the mens room. He has beads of sweat across his forehead, cool pale skin, and is leaning against the stall. He tells you he has had problem with bleeding hemorrhoids. You notice bright red blood in the toilet bowl. You and your partner stand him to transfer to the stretcher. When you do, he tells you he feels like he is going to pass out.

Patient C
A 27 year old construction worker got into a fight with his wife. She took a coffee pot and struck him on the nose and forehead. You arrive and he has a nosebleed. Police ask you to evaluate him and you observe that he has oozing blood from both nostrils. He is alert, oriented, pulse 76 regular and strong. Respirations 14 with warm and dry skin. He states he feels nauseated.

Answer the following questions for each patient, explaining your reasoning for each answer. Compse these answers in a Word (.doc or .docx) or Rich Text file (.rtf) and upload it here.

1. Which patient(s) would you consider to be in “shock?" Explain your answer.
2. Could each patient have a blood pressure of 120/80 mm Hg? Explain your answer.
3. Which patient(s) would be considered non-emergent? Explain your answer.
4. Which patient (s) would be considered “compensated’? Explain your answer.
5. What is the best indicator of hemodynamic status in the patients above? The least? Why?