Incident Details: 67 year old (Female) who had a fall; ankle injury.
Case study one: Appraisal of Ankle Injury Assessments in Pre-hospital setting.
| PC | Fall – Right Ankle injury | |||
| HxPC | The patient was walking up 5 stairs to her home when she tripped and fell up the stairs landing on her right ankle awkwardly. The patient fell on the concrete floor, the patient sat for a minute and then with help from her husband was able to get up. The pain then limbed to the front room and put her foot up on the sofa. The concrete ground was dry. The patient was wearing sandals on her feet at the time. The patient has had no previous injuries to right ankle or foot. The patient states she has not hurt or injured herself anywhere else, no pain or discomfort anywhere apart from her right ankle. The husband was right behind her and witness everything. The patient did not hit her head, no LOC. No c-spine tenderness on palpation or movement. The patient states that the ankle swelled straight away and bruising appeared soon after. The patient has not taken any analgesia for the pain. | |||
| PMHx | Asthma | |||
| FMHx | No family history of osteoporosis. | |||
| MHx | Ventolin inhaler – maximum of 4 times a day or PRN. | |||
| Allergies | Known None. | |||
| SHx | Lives with husband in a house. Patient believed not to be under the influence of any alcohol or drugs. Non-smoker. | |||
| O/A | Patient sat on sofa with her leg raised with no shoe on the right foot. Patient talking in full sentences, alert and GCS 15/15. | |||
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