п»їHFB3228 Advanced Paramedic Practice 2
Case Study 1
Q1. This film is a radiographic x-ray of a fractured femur. The view is definitely anteroposterior aircraft (AP). This shows the left pelvis, left hip, left femur and left patella. The sufferer is a pediatric patient, as you can clearly view the growth plates on the distal end of the femur. You can also see that the hip joint is not completely formed which is indication that the sufferer is pediatric. This is an injury case. It needs a certain amount of pressure and injury to fracture a femur as it is the strongest bone tissues in the body. Q2. This film shows a mid-shaft, oblique fracture from the left femur. The middle third is the most common site of femoral base fractures, since the our bones anterolateral bowing is at it is maximum. Femoral shaft fractures are labeled based on their very own pattern, amount of comminution, and soft-tissue disruption, if open up. Fractures could be transverse, oblique, or spin out of control (Hakala & Blanco 2000). This bone fracture is a great oblique break as the bone is broken with an angle; this is normally a direct result indirect trauma. It is also a closed break as the bone hasn't broken throughout the skin. This kind of fracture is only slightly out of place. The amount of displacement depends on the disregarding force, the pull with the muscles and gravity.
Q3. Femoral shaft bone injuries in pediatrics are often linked with unintentional shock; however child abuse has to be taken into consideration, especially in children who also are less than one year old (Anglen & Choi 2005). Up to 30% of femoral shaft fractures in children younger than four years of age may be the reaction to child maltreatment, and is the most frequent cause of femur fracture in infants (Hakala & Finalidad 2000). Other signs to buy that may recommend child misuse are; bruising, burns and other fractures in several phases of treatment.
Unintended trauma that could cause a kid's femur to fracture include; falls, one example is falling from the playground; sporting accidents...
Sources: Ambulance Victoria. (2009). Scientific practice suggestions for ambulance and MICA paramedics, modified edition. Doncaster, Victoria. Nationwide Library of Australia Cataloguing-in-Publication Data.
Anglen, J. O. & Choi, L. (2005). Treatment options in pediatric femoral shaft bone injuries. Journal of Orthopaedic Shock, 19(10), 724-733.
Hakala, N. E. & Blanco, L. S. (2000). Pediatric femoral shaft bone injuries. Medscape General Medicine, 2(1).
Owen, J. T., Stephens, Deb. & Wright, J. G. (2007). Dependability of radiographic measurement of fracture angulation in kids with femoral shaft bone injuries. Canadian Journal of Surgery, 50(2), 115-118.