Presentation on a critically ill trauma case study

by | Nov 28, 2024 | healthcare

 

Create a presentation focused on a trauma patient case study, tracing their journey from the incident scene to triage in the emergency department and eventual hospital admission. Highlight the initial assessment process by detailing the steps involved in the primary and secondary surveys, following ATLS guidelines, and including the use of adjuncts. Incorporate specific procedures, such as airway management and central line insertion, to present a realistic scenario. Conclude with a reflection from the perspective of an emergency nurse, discussing both the strengths and challenges encountered during the casespecifically noting the absence of a fluid warmer as a limitation. References will be provided for additional context.

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.


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God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Presentation: A Trauma Patient’s Journey

Slide 1: Title Slide

A Trauma Patient’s Journey: From Scene to ED

Slide 2: The Incident

  • Scenario: A 25-year-old male is involved in a motorcycle accident, sustaining multiple injuries.
  • Initial Assessment at the Scene:
    • Primary Survey (ABCDE):
      • Airway: Assessed for patency, cleared, and intubated due to decreased level of consciousness.
      • Breathing: Chest wall instability noted, indicating potential rib fractures or pneumothorax.

Presentation: A Trauma Patient’s Journey

Slide 1: Title Slide

A Trauma Patient’s Journey: From Scene to ED

Slide 2: The Incident

  • Scenario: A 25-year-old male is involved in a motorcycle accident, sustaining multiple injuries.
  • Initial Assessment at the Scene:
    • Primary Survey (ABCDE):
      • Airway: Assessed for patency, cleared, and intubated due to decreased level of consciousness.
      • Breathing: Chest wall instability noted, indicating potential rib fractures or pneumothorax.
      • Circulation: Significant blood loss evident, requiring immediate fluid resuscitation and blood product transfusion.
      • Disability: Glasgow Coma Scale (GCS) assessed; patient is unresponsive.
      • Exposure: Patient undressed for full body assessment, hypothermia noted.

Slide 3: Transport to the ED

  • Pre-hospital Care:
    • Spinal immobilization to prevent further injury.
    • Continuous monitoring of vital signs.
    • Aggressive fluid resuscitation.
    • Pain management.

Slide 4: Triage and Initial Assessment in the ED

  • Triage: Patient is triaged as a trauma alert.
  • Primary Survey:
    • Airway: Maintained with endotracheal tube.
    • Breathing: Chest tube insertion for suspected pneumothorax.
    • Circulation: Large-bore IV access established, blood transfusion initiated.
    • Disability: GCS remains low, indicating severe brain injury.
    • Exposure: Patient fully undressed for thorough assessment.

Slide 5: Secondary Survey

  • Head-to-Toe Assessment:
    • Head: Closed head injury suspected, CT scan ordered.
    • Neck: Cervical spine immobilized.
    • Chest: Multiple rib fractures and pneumothorax treated.
    • Abdomen: Abdominal tenderness, potential internal bleeding.
    • Pelvis: Stable pelvis.
    • Extremities: Multiple fractures noted on both legs.

Slide 6: Diagnostic Testing and Interventions

  • Laboratory Tests: Complete blood count, coagulation studies, blood type and crossmatch.
  • Imaging Studies: Chest X-ray, CT scan of the head, chest, abdomen, and pelvis.
  • Surgical Intervention: Orthopedic surgery for fracture repair.

Slide 7: Nursing Management

  • Monitoring: Continuous monitoring of vital signs, cardiac rhythm, and neurological status.
  • Pain Management: Aggressive pain management with opioid analgesics.
  • Temperature Management: Active rewarming to prevent hypothermia.
  • Psychosocial Support: Providing emotional support to the patient and family.

Slide 8: Reflection

As an emergency nurse, caring for trauma patients is both challenging and rewarding. The rapid assessment and intervention required during the initial moments of a trauma event are critical. In this case, the absence of a fluid warmer was a significant limitation, as hypothermia can exacerbate injury and complicate recovery.

It is essential to stay updated on the latest evidence-based guidelines and protocols to provide optimal care for trauma patients. By working collaboratively with other healthcare professionals, we can improve patient outcomes and save lives.

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