Case Study – Head Trauma

 

 

 

M. L., a 17-year-old male, was involved in a motor vehicle crash. He was wearing a seat belt but was traveling at a high speed when he lost control of the car and crashed into a tree. He was initially awake at the scene, but his level of consciousness quickly declined during transport to the trauma center by emergency medical services (EMS). His 4-year-old brother Jason was in the back seat restrained but is unconscious and has a distended abdomen, ashen in color and extremities are cold.

The prehospital team was unable to intubate M. L. and is being transport to ER, and the patient’s airway was being maintained with bag-valve-mask ventilation using a fraction of inspired oxygen (FiO2) of 1.00 (100%). Jason was intubated being ventilated with an oxygen saturation of 95 %.
Two large-bore intravenous catheters were placed, and normal saline was infused at 250 mL/hr. Three liters of fluid were administered before arrival in the emergency department. M. L. does not have a significant medical history or any drug allergies
The EMTs were unable to start an infusion on Jason. Estimate time of arrival is 3 minutes to ER.
Clear explanation of key issues. Valid arguments; analysis of issues with relevant supportive detail. Appropriate
analysis, evaluation, synthesis for the issues identified. Conclusions and recommendations are congruent with
strategic analysis. Proper organization, professional writing, logical flow of analysis. Provide one supporting
evidence-based document to support your position. (Full text – no abstracts) (5-year limit) APA formating.

 

Sample Solution

 

Plastic medical procedure has turned into a rage among South Koreans since the start of the twenty first century. South Korea has the most noteworthy pace of plastic medical procedure than some other nation on the planet, with 74 techniques for every 10,000 individuals (Winchester, 2013). Larger part of individuals in Korea accept that facial appearance is a significant factor in estimating one’s achievement throughout everyday life. This paper contends that plastic medical procedure in South Korea needs a restriction and the plastic medical procedure fever in Korea must be halted. Three reasons why plastic medical procedure must be diminished are a direct result of plastic medical procedure dependence, institutionalization in physical appearance and symptoms of restorative activities.

Plastic medical procedure was presented in Korea by Dr. Ralph Millard, an American plastic specialist, who landed in Korea in 1954 and performed twofold eyelid medical procedures for Korean patients (Stone, 2013). Millard’s job was to help treat mishap and consumed unfortunate casualties yet he chose to help in an alternate manner. Millard believed that a progressively western appearance would enable Koreans to acclimatize better in the rising universal economy. (Millard. R, n.d.). The medical procedure rapidly got on and the principal tasteful medical procedure facility opened in Korea in 1961. From that point, quantities of ladies experiencing plastic medical procedures expanded from year to year. As of now twofold eyelids and nose employments are regular to such an extent that they are not named medical procedure however called as “strategy”. It is consistent with state that once Koreans wanted to look increasingly western, however these days corrective tasks are not to look progressively western yet to look all the more shocking as what Koreans might suspect. As indicated by Dr. Hyunenong Park (as refered to in Stone, 2013), a plastic specialist in Korea, said “Despite the fact that numerous Caucasians have little and thin faces, it wouldn’t mean Asians like to resemble Caucasians. On the off chance that you examine some Caucasian superstars, you find incalculable instances of conspicuous jaws and high cheekbones. In any case, on the off chance that you review Asian big names, they all have little jaws and cheekbones. That is on the grounds that little and thin face is perfect to generally Koreans”. This demonstrates Koreans experiencing plastic medical procedures still search for particularly Korean component, instead of appears to be like Caucasian.

A few people contend that plastic medical procedure supports self-assurance and diminishes the pace of misery in patients. Patients experiencing a medical problem identified with physical appearances had an incredible change by they way they feel about themselves after strategy. For example, an investigation found that patients who carefully changed their physical appearance, professed to accomplish their objective, felt more beneficial, less restless and grew progressively confidence contrasted with the individuals who decided not to have plastic medical procedure (Royal University of Bhutan, 2013). In addition, scientists discovered that plastic medical procedure assumes a noteworthy job in diminishing despondency in patients with appearance issues. Research completed by the American Society of Plastic Surgeons (2006), exhibited a high connection between’s plastic medical procedure techniques and moderating sorrow in patients. The exploration demonstrated 31 percent of the patients choosing for the methodology who was right now on antidepressants, had quit taking upper medicine for a half year, after the medical procedure (American Society of Plastic Surgeons, 2006). This demonstrates plastic medical procedure plays a significant job in upgrading ones confidence and diminishing the degree of discouragement yet overcompensated plastic medical procedures are causing serious issues in our general public.

Individuals’ fixation on plastic medical procedure, is one reason why plastic medical procedure should be diminished. The greater part of the individuals have something they don’t care for about their appearance, yet on the off chance that it isn’t not kidding and doesn’t influence our day by day live, it isn’t important to experience medical procedures. While in Korea, individuals have turned out to be increasingly open about ‘reproducing’ their face and strategies like eye-and-nose employments have progressed toward becoming what they call “nuts and bolts” Furthermore, individuals’ fixation on plastic medical procedure is proceeding onward from the ‘essentials’ to radical careful activities that require long difficult recuperation period which is possibly hazardous medical procedure (Standen, 2013). These individuals who are not happy with their present appearance and experience various strategies are experiencing Body Dysmorphic Disorder (BDD). BDD alludes to individuals who persistently discover imperfections in zones where there are no blemishes and need to continue a few times of medical procedures (ADAA, n.d.). They see themselves as being monstrous while others could consider him to be her as physically alluring and are not really happy with their appearance. Numerous individuals in Korea are presently encountering this issue yet they are not cognizant about it and this can prompt serious symptom. For instance, a previous Korean model Hang Mioku, dependent on plastic medical procedure, infused cooking oil into her face since plastic specialists would not play out any increasingly plastic medical procedures on her (Nair, 2013). Her face is gravely deformed yet she is as yet edgy for gentler, smoother skin. This Korean model is really experiencing BDD yet she isn’t aware of the way that she has a psychological issue.

Another motivation behind why there should be a constraint to plastic medical procedure is on the grounds that indiscreet activities cause genuine symptoms. As indicated by the Korean Consumer Agency (as refered to by Lim, 2014), pace of restorative question on corrective medical procedure was the most elevated of every therapeutic contest in the year 2013 and it expanded 28.5 percent more in the year 2014. Because of the gigantic extension of tasteful medical procedure industry, plastic specialists are insufficient to cover every one of the patients and therefore, numerous inadequate plastic specialists or specialists from other restorative fields known as the ‘shadow specialists’ are doing systems for. Shadow specialists, substitute plastic specialists, are accounted for to be the fundamental driver of the immense increment in restorative occurrences that were accounted for as of late (Yoo, 2015). 70 percent of plastic medical procedure misbehavior suits that were accounted for are from hilter kilter issues pursued by prosthesis disappointment, irritation and post-scars (Lee, 2015). These reactions lead to wellbeing and mental ailments or even demise. For example, Kim Bok Soon, a patient who needed to have her nose done to acquire self-assurance, was persuaded by an unfit specialist to have fifteen tasks done to resemble a superstar however the outcome turned out as a catastrophe. After the methodology, she can’t close her eyes or prevent her nose from running and is at present experiencing constant discouragement (Carney, 2014). This, however a Chinese lady was discovered cerebrum dead while experiencing consolidated eye and nose method in a facility situated in southern Seoul (Choi, and Park, 2014). She all of a sudden quit breathing and lost cognizance while medical procedure and was sent to a close by clinic yet was determined to have mind demise and at present staying sluggish.

Ultimately, institutionalization in appearance is likewise a motivation behind why the stylish activity must be decreased. A progression of photographs of 2013 Miss Korea starter contenders uncovered by a mysterious blogger stunned Koreans as well as the entire world and news associations around the world. Worldwide news squeezes at the same time, censured on how plastic medical procedure has transformed the 2013 fundamental event competitors into practically indistinguishable looking individuals (Lewis, 2013; Odell, 2013; Zimmerman, 2013). Contestants as well as likewise looking ladies can be effectively observed in numerous spots in Korea however particularly in Gangnam a region famous for plastic medical procedure. Christina Lim, who is attempting to imitate doll-like highlights of the K-pop big names, said “Plastic medical procedure is a typical thing. My companions, they would in reality simply take some time off and after that they would return with another face. In Korea, you go down the road, you see this young lady and you stroll down the road, you see that young lady once more. The two young ladies are really unique individual” (Chang& Thompson, 2014). As Lim expressed, numerous Korean ladies want to experience tasks to accomplish huge eyes, round brow, tall nose and v-line molded stunning which is the most recent magnificence standard in Korea. The issue happens from individuals who don’t fit the excellence standard. Individuals who are considered as not beautiful in light of the fact that they don’t fit into the magnificence standard experience serious difficulties with coexisting with others and fit in to the general public.

All in all, the paper contended about confinement of plastic medical procedure in Korea. We have taken a gander at how restorative activities improve confidence and lessening despondency yet then again, cause significant issues like tasteful medical procedure compulsion, institutionalization in appearance and extreme symptoms that may prompt demise and genuine social issues. Restorative medical procedure was a medical procedure to expel the physical appearances that reason other wellbeing illness or mental infection but since it is thoughtlessly done and excessively utilized in Korea, it is making a larger number of issues than advantage the general public. To avoid this, restorative tasks must be constrained to patients who truly need the system and not to superfluous individuals. Specialists performing methods ought to likewise be painstakingly inspected before they can do any restorative activities to patients to keep away from any misbehavior brought about by inadequate specialists.

 

 

 

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