You are called to a residence for a patient who has fallen. A neighbor has made the call to 911….

You are called to a residence for a
patient who has fallen. A neighbor has made the call to 911. Upon your arrival,
you find a 56-year-old male patient who has fallen from the roof of his house
onto the concrete driveway. As you approach the patient, he is not alert and
has severe trauma to the head. It appears he has fallen head first. He has a
large amount of blood coming from his mouth, nose, and ears. You hear gurgling
sounds with each respiration. His respirations are rapid at approximately 45
per minute with minimal chest movement. His radial pulse is slow at a rate of
48 per minute,
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You are called to a residence for a
patient who has fallen. A neighbor has made the call to 911. Upon your arrival,
you find a 56-year-old male patient who has fallen from the roof of his house
onto the concrete driveway. As you approach the patient, he is not alert and
has severe trauma to the head. It appears he has fallen head first. He has a
large amount of blood coming from his mouth, nose, and ears. You hear gurgling
sounds with each respiration. His respirations are rapid at approximately 45
per minute with minimal chest movement. His radial pulse is slow at a rate of
48 per minute, but strong. His BP is 198/72 mmHg. The SpO2 reading is 76% on
room air. His skin is cyanotic, warm, and dry. His wife arrives home while you
are on the scene and begins to scream frantically.

1. What is the significance of the
gurgling sound? 2. How would you document the pulse rate? 3. What does the
pulse oximeter reading indicate? 4. What do the skin signs indicate? 5. What
other vital signs would be important to assess in this patient? 6. When would
you attempt to gather a SAMPLE history? 7. How would you gather the SAMPLE history?
8. What information would you be able to gather using the OPQRST mnemonic?

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