Title: Case Studies 10-11 Hematologic Emergencies
Course: EMS 1119 Emergency Medical Technician > Section: Module X Medicine

Type your answers in a Word or Rich Text document and upload. Each answer in each case is worth 3 points for a 30 point total.

Case 1

An EMT crew is presented with a 33-y/o male in obvious discomfort complaining of joint pain in his elbows, hands and feet. He says he has sickle cell anemia and “this cold weather is making me act up.” He has no other medical history, and his vital signs are HR=104 and regular, BP=134/90, RR=16, SpO2=98% on room air.

1. What is the primary pathology in SSD?
2. What is vaso-occlusive crisis ?
3. List 3 manifestations seen in patients in this crisis?
4. What is the difference between sickle cell disease and sickle cell trait?
5. What are the priority interventions/treatments for the patient above?

Case 2

A 22-y/o female presents complaining of a three-week history of weakness, lethargy and cold intolerance. Your physical exam reveals pale, dry, cool skin and a thin body habitus. She says that she started a vegetarian diet about 6 months ago. Her vital signs are stable, and her oxygen saturation is 99% on room air.

1. What is you general impression of this patient?
2. List three characteristics of anemia?
3. What is a H&H? Why are the values different between males and females?
4. What are the priority prehospital treatments for this patient?
5. What is the role of vitamin B-12, iron or folate and there relation to this patients condition?