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Case Study

Injury while kayaking - p.1

Scene:  You, along with several friends, are on a two week sea kayaking expedition in a remote chain of islands in Lake Superior. The nearest access to a road is a 50 mile paddle from your current location.

Weather: 60ºF daytime, 40ºF at night.  The marine forecast is worsening over the next three days, calling for higher wind and waves.

Patient Presentation:  On day six of the expedition, your 30 year old male paddling partner complains of a finger that is red and painful.

Initial Assessment:  Airway, breathing and circulation are adequate. Patient did not have a loss of consciousness and has no back or neck trauma.

Focused Assessment:

         Vitals
         You did not take vital signs during the assessment.

         SAMPLE
         The patient reports that the pain started a few days ago and has gradually gotten worse. He rates the pain as a 5 out
         of 10, and describes it as “throbbing”. The patient does not recall a previous injury to the finger, but states that he
         had a similar problem with another finger a few weeks previous that “cleared up on its own”.

         Physical Exam
         
The physical exam reveals that the patient’s left index finger is swollen, red and tender below the first knuckle. The    
         border between his fingernail and cuticle is raised and a small amount of white colored pus is visible.

What’s next?
     

​Provider questions:
  • What is your assessment and treatment plan for this patient’s finger?
  • What problems do you anticipate if this condition does not resolve? 
  • What factors may have contributed to the patient’s current condition?
  • Should the patient be evacuated?
Continue
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Longleaf Wilderness Medicine
PO Box 1616
Sandpoint, ID 83864
(208)274-3596
info@longleafmedical.com

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  • Home
  • About
    • Staff
    • Employment
    • Policies
    • Scholarships
  • Trainings
    • First Aid for Remote Industry (FARI)
    • Wilderness First Aid
    • Wilderness First Responder
    • Wilderness First Responder Recertification
    • WFR: Continuing Ed
    • Custom Courses
    • Continuing Education for Program Staff
    • Online Learning >
      • Outdoor First Aid
      • WFR-Recert
  • Class Schedule
  • BLOG
  • Resources
  • Contact
  • Store