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Case Study

Injury while kayaking - p.2

Patient Presentation (day 8):  The group has been unable to travel due to high wind and waves. The patient states that he has been treating his finger per your recommendations of increasing frequency of hand washing and topical application of antibiotic ointment on the affected tissue. However, he approaches you two days later, complaining of feeling unwell.

Initial Assessment:  You observe that airway, breathing and circulation are adequate and that no loss of consciousness or no back or neck trauma has occurred.

Focused Assessment:
         Vitals
         Skin is sweaty and warm. HR 90 RR 15.

        Physical Exam
         
The physical exam reveals that the patient’s left index finger is still swollen and red. Additionally, you notice some
         red streaking on the inside of his arm.

         SAMPLE
         The patient reports that he started feeling unwell the previous night. He complains of feeling weak and of some joint
         pain in his hand and elbow. He states that he slept poorly and woke up covered in perspiration. He thinks that he  
         may have a fever. He also complains that his left armpit feels tender.

What’s next?

Provider questions:
  • How has your assessment of this patient changed?
  • Given the patient’s condition and the weather forecast, what is your plan?
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PO Box 1616
Sandpoint, ID 83864
(208)274-3596
[email protected]

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  • Home
  • About
    • Employment
    • Policies
    • Scholarships
    • Staff
  • Trainings
    • First Aid for Remote Industry (FARI)
    • Wilderness First Aid
    • Wilderness First Responder
    • Wilderness First Responder Recertification
    • Training Resources for Programs
    • Custom Courses
  • Class Schedule
  • Resources
  • BLOG
  • Contact
  • Store