Medical Emergencies for Out-of-Hospital Practice 1

For the following case, discuss how the clinical assessment (history taking and physical examination) enabled the paramedic to determine the clinical diagnosis. Using a best practice approach discuss the most appropriate treatment interventions a paramedic would employ, including the decisions regarding extrication options, use of oxygen and fluid resuscitation for this patient. Demonstrate your understanding of the aetiology and pathophysiology of a lower GI bleed to explain how the clinical assessment findings manifest. Are there additional assessment tools being trialled in the prehospital field that could be useful in assessing this case to confirm diagnosis? Support your opinion using contemporary literature to outline the benefits and drawbacks to implementing such tools into the prehospital arena. Assume a best practice model (rather than a State ambulance practice).