How would the ER treat a patient like this?
Weird medical scenario for my health’s class and i have no idea what they would do becasue she gave us limited resources and the internet is not helping. so plz help
first scenario reminds me of alice in wonderland becasue a 7 year old girl falls down a 10 ft. hole and breaks her wrist and tail bone. Her kitty necklace broke in half and both pieces are lodged in her face and wont come out. what would an ER do to treat this.
The final scenario i need help with is a teenage girl “accidentaly” swallows a kitty shape necklace that got drenched in hair dye and i believe it was the toxic kind
so plz people help cuz its due on thursday
1, agree with 1st poster, kid would come to us on a backboard and a C-collar. She’d be medically cleared for her back and spine by xray/cat scan and doctor before she comes off the board. While she was in xray for the back/spine, she’d also have her wrist xrayed. The tailbone would be done by catscan, as well as her head to check for concussion. Then, depending on the fracture, either the ER doc would set the wrist or she’d have to go for surgery. Tailbones mend on their own, we don’t do anything for that. She’d be given pain medication throughout the procedures, and her parents would be at the bedside as a comfort measure (because an ER visit is scary for a 7 yr old)!
Lastly, the necklace pieces – Her face would be catscanned while she was in getting her brain scanned. This would give us the exact location of the pieces. If they were simply lodged in the skin, she’d be given what we call conscious sedation (ie anesthesia), where we put in an IV catheter and give her fluids to hydrate and medications to put her to sleep. Then the doc would simply cut the necklace pieces out and stitch her up.
If she didn’t have a skull fracture from the fall, need a pin in the wrist, or get the necklace pieces lodged in bone, she’d be sent home when she woke up.
In #2, we’d call poison control to see if there IS any treatment or specific drug that works for hair dye, and give that. In such a case, we go by poison control’s recommendations. Depending on the hospital she went to originally, if she needed to be admitted, she’d have to be transferred to a Children’s Hospital. Many hospitals will stabilize children in the ER, but are unable to admit them because they don’t have pediatric wards. Treatment always depends on the poison and if there is an antidote. Some poisons don’t have antidotes, and you just have to wait and see.
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