Case Conference Intern 溫千瑩. Patient profile 王 X 銘, 39y/o, male Occupation : 自由業 Chart No.: 1266XXXX Admission to ER date: 96-3-25, 04:44 Way of admission:

Slides:



Advertisements
Similar presentations
Care of the Unconscious Patient Acute Care Day
Advertisements

Principles of Trauma Symphony of Surgery
Recognition of the unwell patient And what to do about it Dr Mike Nicholls Emergency Medicine Consultant Auckland City Hospital April 2011.
Prepared by: Tristan Villanueva Arcibal BSN-RN Presented on: July 16, 2013 A CASE PRESENTATION OF A PATIENT WITH DIABETIC KETOACIDOCIS (DKA)
TRAUMA. PATIENT DATA N.H 53/M Married Filipino Roman Catholic Pasig city.
Case 1 CR2 莊景勛 2007/08/28. Patient’s Profile Name: 林 X 琪 Gender: female Age: 14 years old Chart number: Arrival time: 2007/07/1, 16:42.
Case present By Intern 劉一璋. Patient data Name: 陳 ○ 富 Sex: 男 Age: 71 歲 Date of admission: 96/08/09 Chart No:
OSCE - Questions PMH Jan Case 1 F/38, history of Schizophrenia Drank a bottle (60ml) of Red Flower Oil Repeated vomiting, denied any tinnitus GCS.
Trauma Triage Criteria Inservice 1998 Composed by: Laurie A. Romig, MD, FACEP Bayflite/Bayfront Medical Center.
EMT 100 Patient Assessment. Vital Signs *SIGNS OF LIFE*
Detailed Physical Exam. Who Needs a Detailed Physical Exam? Determined by patient’s condition: After critical interventions for a patient with significant.
National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Chapter 7 Patient Assessment.
Treat a Casualty with a Closed Head Injury. Combat Trauma Treatment 2Head Injury Introduction Most common for individuals working in hazardous environments.
Traumatic Brain Injury Case Scenario Workshop Maurizio Berardino Neuroanesthesia and Intensive Care Neuroscience Department San Giovanni Battista Hospital.
Slide 1 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Baseline Vital Signs and SAMPLE History Chapter 5.
Vitals and History Taking Hillcrest Fire Training December, 2000.
Brain perfusion scan Case report Case Ⅰ Name: 鄭 XX Sex: female Age: 13 y/o Date: 89/8/1~89/10/7.
Detailed Physical Examination CHAPTER 12. Detailed Physical Examination Patients Needing a Detailed Examination.
Vital Signs Medical Science 1. Lesson Objectives Understand What vitals are and how to document them Learn How to: Take Pulse Rate Take Respiration Rate.
Clinical Pathological Conference Kartikya Ahuja, M.D. Resident Physician Department of Medicine NYU School of Medicine July 20 th, 2007.
Case Conference- 急診外科 Presenter: Int. 黃士財 Director: 林杏麟醫師 Date:
CASE REPORT Intern 呂佾欣. Profile Name: 劉ｘ珍 Name: 劉ｘ珍 Chart No.: Chart No.: Gender: female Gender: female Age: 49 y/o Age: 49 y/o Admission.
Monday, June 9,  Let’s review the 4 vital signs!  Heart rate  Respiratory rate  Blood pressure  Temperature.
NYU Medical Grand Rounds Clinical Vignette Sarah MacArthur, MD Tuesday January 22 nd, 2013 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.
Case report By 馮文翰. Identity / Name: 崔 X 誠 / Sex: male / Age: 29 years old / Chart number: / 來急診的時間： / Name: 崔 X 誠 / Sex: male.
Case Report by intern 莊凱峻. Patient profile Name: 李 X 焜 Gender: male Age: 80 y/o Chart No.: Date: pm4:50.
CASE SIMULATION Debriefing. Diagnosis? Altered level of consciousness Respiratory insufficiency Acute subdural hematoma Possible inflicted traumatic brain.
Instructor Name: Title: Unit:
Patient Assessment INITIAL ASSESSMENT. Patient Assessment 2 Components of the Initial Assessment Develop a general impression Assess mental status Assess.
ER / Case Presentation Int 陳姿吟. Patient Profile 49 y/o male Admitted Date ： 95/10/11 15:18.
Case Conference Int. 林美琪 96/04/03. Patient profile ► 李  季, 27y/o, male ► Chart num.: ► Admission to ER date: 96/03/30 04:36 ► Way of admission:
Case discussion. Vs 李宜中,R1 林玫瑩. General data: Name: 賴錦 x Age:52 years old Occupation: 鐵工廠老闆 Admission date:2006/5/30.
outlines Introduction Scene assessment Patient assessment: Primary survey Secondary survey Care of unconscious patient: Emergency care Long term care.
Trauma Case Conference Intern 賴柔吟. Patient Profile 彭 ○ 惠， 30y/o ， Female 彭 ○ 惠， 30y/o ， Female Chart No. ： Chart No. ： Date.
Case presentation Intern 黃毓琦. Personal profile  Name : 簡 X 涵  Gender : female  Age : 49 years old  Chart number :  Arrival date.
Case presentation Intern 胡學錦. Personal profile Name : 吳 O 民 Name : 吳 O 民 Gender : male Gender : male Age : 46 years old Age : 46 years old Chart.
急外 Case Report Intern 洪毓棋. Patient 姓名 : 黃 X 偕 性別 : 男生 年齡 : 11 歲 ID: 就診日期 : 95/6/28 下午 2 時 體重 : 28kg.
Medical Grand Rounds Clinical Vignette December 3, 2008 Steven Giovannone, MD.
PEDIATRICS…... more than just little people. Airway Differences Larger tongue relative to the mouth Less well-developed rings of cartilage in the trachea.
Presented by F1 林立原 Instructed by Dr. 許景瑋 2011/11/11.
Case Presentation Intern 蔡孟峰. Chief Complaint Traffic accident last midnight(06/03), transferred from “ 劉光雄 ” Hospital.
Case Conference Intern 陳姝蓉. Patient profile Name: 鍾高 O 錦 79 year-old female Occupation: unknown Chart number: Arrival time: AM08:38.
Case Conference Intern 曾順承. Patient Profile Chart No.: Chart No.: Name: 林 x 麗 Name: 林 x 麗 Gender: female Gender: female Age: 49 Age:
Case Report 95/06/11 Intern 張偉德. Patient ’ s Profile  Name ：郭 ○ 玲  Age ： 40 y/o  Sex ： female  Chart no. ：  95/6/25, 12:04 入 ER.
CASE DISCUSSION 醫學六 王家泰 醫學六 王家泰. History Name : 陳 XX Ward ： 11A 9-2 Date of Admission : 92/03/22 Age : 33 y/o Sex : Female.
NYU Medicine Grand Rounds Clinical Vignette David Altszuler, MD PGY-2 December 11, 2013 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.
Case presentation Intern 陳嘉夆 Personal Profile Name: 徐 X 祺 Age: 22 years old Gender: male Arrival date: :40 referred from 婦幼 Hospital.
TRAUMA ASSESSMENT. PRIMARY SURVEY AIRWAY – Assess for patency/obstruction Chin lift/ jaw thrust Clear FB’s Oropharyngeal airway Intubation/surgical airway.
Case Presentation Presenter : Intern 黃曉禹.
Case Report Intern 謝旻翰. Status on Arrival Consciousness –Alert Vital sign –RR: –PR ： 70 –BT: 36.5 –BP: 162/102.
(VERY IMPORTANT) Patient Assessment. Learning Goals Scene size up  2 part patient assessment (  Intervention) Confidence with patient assessment! Realize.
“When in danger, when in doubt, run in circles, scream and shout.”
急診創傷個案討論 新光醫院 急診科 張志華 醫師 2005 / 09 / 22.
Trauma Nursing Jen Denno RN, BSN, CEN Fall Types of injuries-BLUNT Falls-axial loading Consider: age, distance fallen, energy absorbed (surface.
Cardio Pulmonary Resuscitation
Case report 楊佩真 July 2005 Italy by BUBU YANG.
Survey the Scene --mechanism of injury --nature of illness.
Cost saving Improved patient care MedLifeCard - MedLifeCard - Solutions for real life problems.
1 MGR 내분비 대사 내과 R2 황연희. 2 주소 전신적인 무기력증 발병시기 : 약 7 개월 전 현병력 특이 병력과 약물 복용력 없는 62 세 여자 환자로 7 개월 전부터 쉽게 지치고, 일상생활 유지 못할 정도로 전신 무기력감 지속되어 건강검진 시행 받았으며 당시 혈청.
Emergency Department Aberdeen Royal Infirmary Head Injuries in the Emergency Department August 2015.
Case Presentation Division of Gastroenterology R2 김 지 연.
R1. 김 정 언 Resident Block Activity.  Chief complaint  Mental change – 내원 3 시간 전  Past medical history  Hypertension – 20 년, po medication.
Trauma Call. Primary Survey “ABC’s” Airway Maintenance Maintain C-spine protection Verbal or Non-verbal Altered mental state: most common cause of intubation.
P-MARCH-P OVERVIEW.
Trauma Assessment Basic Trauma Course The goal of the primary assessment is to rapidly identify potentially life-threatening condition requiring immediate.
Presented by Int. 楊為傑 Int. 吳建霆
31 Sualimani University Pharmacy college The Initial Assessment.
Aspirated Foreign Body
Case Presentation R1 이기만.
Emergency Procedures Topic 2
Presentation transcript:

Case Conference Intern 溫千瑩

Patient profile 王 X 銘, 39y/o, male Occupation : 自由業 Chart No.: 1266XXXX Admission to ER date: , 04:44 Way of admission: alone Discharge from ER date: , 09:50

Injury mechanism He suffered from head injury while he took a taxi on 3/23 4:00 am. Syncope on 3/25 3:00 am was noted. 現場生命現象 : clear (E4V5M6) CC: Dizziness

Initial evaluation (KMUH) A (airway) / B (breathing): Collar fixation: (-) Airway: speech: illustrate smoothly respiration: smooth airway obstruction sign: No foreign body in the mouth: No trachea: midline breathing sound: ?

C (circulation): Rate: brachial a., carotid a., femoral a., dorsalis pedis a. Cuff BP : 110/79 mmHg Skin condition: appearance: red temp: warm humidity: normal

D (disable): GCS: E4V5M6 Pupil response: ?

E ( exposure ) : Right face contusion Right forehead laceration wound (3 cm) Right eye blindness

Current medication Denied

Past history DM: (-), HTN: (-), Hepatitis: (-) Other systemic diseases: denied Smoking(+), Alcohol(+), Betel nut: unknown Op. hx.: Left frontal fracture, EDH post OP in 民 83 Right orbital floor fracture post OP in 民 83 Right eye prosthesis Allergy hx.: (-) Travel hx: (-), Contact hx.: (-)

Family history Not contributory

Secondary evaluation (KMUH ER) Skull X-ray Brain CT Lab data 12 leads EKG Chest X-ray

CBC

Electrolytes & Sugar

Impression 1. Head injury with brain contusion 2. Face laceration wound (3 cm) 3. Old left frontal fracture post OP 4. Old right orbital floor fracture post OP 5. Right eye prosthesis

Plan Wound CD Panadol 1# Tid Diphenidol 1# Tid Keep observation 頭部外傷衛教單

Thanks for your attention

Feedback: Privacy Policy Feedback
Do Not Sell My Personal Information
About project: SlidePlayer Terms of Service

© 2025 SlidePlayer.com. Inc. All rights reserved.