Critically evaluate the evidence-based management strategies advocated for a range of traumatic conditions and demonstrate an ability to select the appropriate treatment plan. Critically evaluate the evidence-base of treatment options and management strategies for the patient and working diagnosis.

Summative Assignment

Critical analysis of a major incident and the assessment and management of a major trauma patient using a case study.
2500 words.
The student will be provided with a case study of a major incident, including incident and scene details. Using the case study, the student will.

CASE STUDY:
32-year-old female Initial Triage Category: P2 • C: None externally evident • A: Patent • B: RR 20 / SpO2 92% • C: Pallor / BP 74/42 / HR 138 • D: GCS 15 (4:5:6); I = bruising to right abdomen; P = severe pain (10/10) right abdomen/pelvis/lower back; P = unable to ascertain due to scene noise; A: No abnormalities detected • E: What other examination considerations do you have?

Demonstrate an ability to apply the underlying concepts and principles of risk assessment, safety and management of a high-risk environment or accident scene (LO5).
Critically evaluate the aspects of communication and collaborative working required on the scene of a traumatic incident and recognise the interprofessional boundaries and roles at the scene of an incident (LO4)
The student will also be provided details of three trauma patients involved in the case study major incident.
The student will select ONE of these patients to demonstrate achievement of the following learning outcomes.

Demonstrate knowledge and understanding of a range of established techniques for the history, assessment and examination of a patient involved in a traumatic incident (LO1).

Demonstrate knowledge and critical understanding of the relevant anatomy, physiology and pathophysiology relating to the trauma patient, to include mechanism of injury and the laws governing physical or movement forces (LO2).

Critically evaluate the evidence-based management strategies advocated for a range of traumatic conditions including head, chest, abdomen, pelvic, spine, extremity and thermal injuries and demonstrate an ability to select the appropriate treatment plan (LO3).

Expectations
Ensure presentation of work is in line with University of Cumbria standards.
1.5 line spacing; Arial or Calibri Font; Font size 11 or 12
There is NO requirement to include an assignment cover sheet as you are submitting your work electronically.
Anonymous marking is in place, therefore do not put your name on your assignment. Use your student number only.
Refer to the University of Cumbria Academic Regulations Appendix 3c – The Conduct of Assessment for further information on word count limits, content and format.
The Table-Top Exercise will focus on the module learning outcomes outlined below, using an interactive major incident scenario.
You will work in your peer groups to evaluate the scene and establish early scene control and management, incorporating current inter-agency collaborative principles, risk assessment and major incident procedures and protocols. You will also undertake a table-top triage exercise.

Learning Outcome 4
Critically evaluate the aspects of communication and collaborative working required on the scene of a traumatic incident and recognise the interprofessional boundaries and roles at the scene of an incident.
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Learning Outcome 5
Demonstrate an ability to apply the underlying concepts and principles of risk assessment, safety and management of a high risk environment or accident scene.

For your chosen patient.
LO1. Demonstrate knowledge and understanding of a range of established techniques for the history, assessment and examination of a patient involved in a traumatic incident.
• Discuss data/info gathering techniques for the trauma patient.
• Discuss specific assessment techniques and why/how they are performed.
• Discuss diagnostic tests (inc specific questions) pertinent to the patient presentation

Discuss clinical reasoning and decision-making processes in arriving at a working diagnosis. For your chosen patient.

LO2. Demonstrate knowledge and critical understanding of the relevant anatomy, physiology and pathophysiology relating to the trauma patient to include mechanism of injury and the laws governing physical or movement forces
• Critically analyse the mechanism of injury and forces the patient has been subjected to.
• Include thorough explanation of the underlying pathophysiological processes occurring to explain the working diagnosis.
• Include detailed explanation and understanding of the underlying pathophysiological processes occurring to produce the signs and symptoms the patient presents

LO3. Critically evaluate the evidence-based management strategies advocated for a range of traumatic conditions and demonstrate an ability to select the appropriate treatment plan. • Critically evaluate the evidence-base of treatment options and management strategies for the patient and working diagnosis. • Also consider a critical discussion on cervical spine and shock in trauma management strategies. • Discuss the decision-making process in choosing a management plan appropriate for the patient