2,000 words essay based on a case study given below.
All references should be peer-reviewed, no websites to be referenced at all. 1 reference per 100 words.

Activity 1 – Essay (worth 35% of total marks):
The essay will allow students to apply clinical reasoning to patient care. You are asked to write an essay based upon any one (1) of the four (4) case studies that will be distributed in class. The case studies will focus upon those diseases listed in the teaching timetable.
You must include the following information in the essay:
1. A brief overview of the epidemiology of the disease
2. Discuss the key areas of your pre-hospital management of the patient, using a collection of local, national and international guidelines (select 1 other Australian states guidelines and 1 other international ambulance service)
3. Discuss the key areas of hospital management of the patient in the case study
4. Outline and justify the importance of communication during the patient contact

• You must provide an evidence-based discussion by using peer-reviewed journal articles to support the discussion.

Additional comments:
• Maximum of 2,000 words (allowance of 10% either side)
• Referencing style should be APA

PMC2110 Paramedicine Principles 1
Case Study 2
Heart failure

An ambulance is responding to a 000 call for a female complaining of shortness of breath. On arrival at the address the patient, a 50-year-old female reports the following signs, symptoms and history:
Shortness of breath and associated symptoms:
O – Started while watching TV 3 days prior
P – Constant, made worse with exertion and when laying down
Q – N/A
R – N/A
S – Given a score of 8 out of 10
T – Getting gradually worse over the past 3 days
A (associated symptoms) – shortness of breath, fatigue, coughing white sputum, swollen abdomen, sudden weight gain.
Table 1: Physical observations
Observation
Value
HR
115bpm

RR
21bpm

BP
165/95

SPo2
94%

GCS
15/15

Appearance
Pale, diaphoretic

BSL
5mmol

AVPU
A

Temperature

37 degrees celsius
Breath sounds

Fine crackles in bronchial areas bilaterally

Past medical history (PMHx)
Mrs. A had an anterior MI in 2004 which is well controlled.
Medication history
Daily doses of Atenolol, aspirin, GTN
Social history (SHx)
Mrs A. lives with her husband, has 3 cats and used to go horse riding prior to her MI in 2004, but now does no active sports.
Family history (FHx)
History of cardiovascular disease in the family and her grandfather had NIIDM.