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Care Study Introduction: The Patient Mr. X was admitted to the hospital after a motorcycle accident. The 58-year-old man had been hit by a truck. The initial CT scan revealed multiple lesions including bilateral fracture of the occipital condyles at the skull base, unstable fracture of the cervical spine at level C4, double left-sided upper arm fracture, bilateral contusions in the lower lung lobes, left-sided fracture in the sacral bone, dislocation of the right hip, and right-sided tibial fracture…
Mr. X was being cared in the intensive care unit (ICU) of an urban hospital. One week after admission, the ICU nurse in-charge of Mr. X’s care noticed respiratory distress and fever of unknown origin. The nurse reported it to the attending physician and to the intensive care specialists. The intensive care specialists ordered a new CT scan to re-evaluate the status of the brain, the occipital skull base fracture, the post-operative cervical spine, the condition of the lungs, the abdomen for possible source of infection and a pelvis examination locating the sacral fracture and the right hip. Mr. X was chosen as the case study subject primarily because the alarming incidence of motorcycle accident worldwide caught the interest of the author and wanted to delineate the multisystem effect of motorcycle accident to the individual. Clarke, Ward, Bartle and Truman (2004) stated that motorcyclists are at the highest risk for accidents due to poor safety record and the estimated killed and serious injury rate in UK per million vehicle kilometers is twice than a pedal cyclist and 16 times than car drivers and passengers (p. 6). ...
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