THIS HOW TO WRITE THE CASE STUDY :
Introduction (the introduction may be brief but should cover major concepts)
[all in prose, sort of like an essay introduction]
Introduce the patient…. [it is okay if this part isn’t much different from others’ introduction of the patient, consider SBAR format]
The issues that will be discussed are………. They have been chosen because…….
Differential diagnosis[2 potential diagnoses]
[XXXXXXXXXXX] You will be not be graded on achieving my expected final diagnosis but on your ability to relate the signs and symptoms to a disease process and then on your suggested management and critique of the management that is defended from literature.
FIRST Differential diagnosis is
Second Differential Diagnosis is
[make sure that you include the pathophysiology behind the diagnosis] XXXXXX (Reference).
Paramedic Intervention and Rationale
[What paramedic interventions/treatment are you doing and why are you doing them] The interventions that will address the issue of potential arrhythmias are as follows.
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Working example of transferring bullet points into sentences
1. Attach defibrillation monitor & encourage early defibrillation should defibable arrhythmia occur
2. Continuous Monitoring of patients cardiac rhythm,
3. 1/24 vital signs eg BP. P RR SaO2 checks
4. Regular checks and management of electrolyte balances
5. 12 lead ECG
6. CPR & Medication management of arrhythmia
(Referenced)
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[Intervention 1 in prose format, you will need to be more comprehensive in your assignment]
Attachment and monitoring of the defibrillator of the cardiac patient during transport allows for the early defibrillation and reverting of cardiac arrhythmias. Early defibrillation has been shown to have increased success at reverting lethal arrhythmias and preventing death in a cardiac arrest (Ref1, Ref 2, Ref 3,…….)………
The interventions need to be critiqued from literature as to how they will be treating, monitoring or managing the diagnosis they have chosen. This will include their paramedic guidelines. The assignment is designed to help them understand their practice and be able to critique what they do in a constructive format. They are allowed to discuss management into the hospital for the 1st 24 hours to assist them with the assignment and understanding the disease process.
Conclusion (sort of like an essay conclusion)
We’ve discussed ….
We’ve identified potential diagnoses such as….
These potential diagnoses should be addressed by the paramedic interventions as described. [This is purely optional: acknowledge that it is not comprehensive if you like, BRIEFLY
mentioning some examples of what you might have looked at.]
Differential diagnosis[2 potential diagnoses], Likes,,,,,,
onsider the following:
Dehydration
Diabetic neuropathy
Diuresis
Drug-induced orthostasis
Dysautonomia
Ectopic pregnancy
Hemorrhage
Hypotension
Hypovolemia
Multisystem atrophy
Peripheral polyneuropathy
Postural hypotension
Subclavian steal
Vasodepressor/vasovagal response
Vasomotor insufficiency
Cardiac conditions
Consider the following:
Bradydysrhythmias
Cardiac myxoma
Cardiac outflow obstruction
Dysrhythmias
Hypertrophic subaortic stenosis
Paroxysmal supraventricular tachycardia
Paroxysmal ventricular tachycardia
Primary pulmonary hypertension
Prolonged QT syndrome
Sick sinus syndrome
Sinoatrial block
Sinus pause (>3 s)
Tachydysrhythmias
Tricuspid stenosis
Situational conditions
Consider the following:
Carotid sinus syncope
Cough (posttussive) syncope
Defecation syncope
Micturition syncope
Postprandial syncope
Swallow syncope
Metabolic/endocrine conditions
Consider the following:
Hypothyroidism
Hypoxemia
Pheochromocytoma
CNS conditions
Consider the following:
Hyperventilation syndrome
Hydrocephalus
Migraine headache
Narcolepsy
Panic attacks
Seizure disorder
Differential Diagnoses
Adrenal Insufficiency and Adrenal Crisis
Aneurysm, Abdominal
Aortic Stenosis
Asystole
Atrial Fibrillation
Brugada Syndrome
Cardiomyopathy, Restrictive
Dissection, Aortic
Heart Block, Second Degree
Heart Block, Third Degree
Hypoglycemia
Hyponatremia
Long QT Syndrome
Mitral Stenosis
Multifocal Atrial Tachycardia
Myocardial Infarction
Pacemaker and Automatic Internal Cardiac Defibrillator
Pulmonary Embolism
Pulmonic Valvular Stenosis
Sinus Bradycardia
Subarachnoid Hemorrhage
Tetralogy of Fallot
Torsade de Pointes
Toxicity, Amphetamine
Toxicity, Antidepressant
Toxicity, Antidysrhythmic
Toxicity, Beta-blocker
Toxicity, Calcium Channel Blocker
Toxicity, Cocaine
Toxicity, Cyclic Antidepressants
Wolff-Parkinson-White Syndrome
