Title-Maternity – Paramedic Management
Case Study – Home Birth Learning outcomes
1. Understand the pathophysiology and prehospital management of a specific obstetric condition.
2. Develop a management plan for a maternity patient.
3. Examine models of care available for maternity patients.
4. interpret evidence that supports paramedic care of the maternity patient and neonate.
5. Demonstrate knowledge of current evidence and best practices in managing a particular pregnancy-related condition.
6. Evaluate the paramedic approach to the care of the maternity patient and/or the newborn.
Instructions – Case Study
Complete the following tasks.
1. Working Diagnosis:
•Identify your working diagnosis for this patient.
•Explain the pathophysiology of your diagnosis, including risk factors and associated risks.
2. Management Plan:
•Develop a management plan for this patient. (Using Ambulance Guidelines)
•Utilize and reference guidelines from any service, justifying your choices.
•Ensure your proposed management is supported by the selected guidelines.
3 .Guideline Analysis:
•Analyse and compare the Ambulance Victoria guideline for this presenting problem with one or more pre-hospital guidelines.
4. Literature Review:
•Conduct a brief review of the literature to identify available treatments for this presentation.
•Discuss which interventions are supported by the evidence.
5. Guideline Recommendations:
•Based on your analysis and literature review, justify recommendations for modifications to the current Ambulance Victoria guidelines.
•Include a visual aid to assist your recommendation. Examples include – a flow chart, mind map, drawing, graph, algorithm illustration or infographic.
Presentation requirements
•Use 12-point font in Arial or Times New Roman.
•Set line spacing to 1.5 cm.
•Apply Vancouver referencing style.
•Include page numbers in the footer.
•Add your ID in the header.
•Create a title page with your ID and an accurate word count.
•The word count excludes the reference list and headings/subheadings.
•Utilize dot points to manage the tight word count effectively.
Case Scenario
Scenario
At 7:45 am on a Tuesday morning, you are dispatched to a townhouse in Narre Warren. The job is for a 27-year-old woman experiencing severe headache and visual disturbances. On arrival, you are greeted by the patient’s partner, who states, “She’s pregnant, and something isn’t right.” You find the patient, Priya, lying on the couch in visible discomfort, shielding her eyes from the light.
Priya is G1P0 at 33+2 weeks’ gestation. She tells you she woke with a persistent frontal headache, seeing “flashing lights” in her peripheral vision, and feeling generally unwell. She denies abdominal trauma or contractions but reports some mild upper abdominal discomfort. Her prenatal care has been routine, with no history of complications. Her last antenatal appointment was five days ago.
Observations:
•HR: 92
•BP: 168/110 (repeat: 170/112)
•RR: 20
•SpO₂: 98% RA
•Temp: 36.9°C
•GCS: 15
•Pain: 6/10 (headache and epigastric pain)
Priya is alert but anxious and sensitive to light and sound. She has mild facial and pedal oedema. Her partner reports she had similar headaches last week but they resolved spontaneously. Priya has not taken any medications today. She is concerned something is wrong with her baby.
Presentation requirements
A table has been included with the rubric to guide your submission, it is recommended you use this but it is not compulsory.
•Use 12-point font in Arial or Times New Roman.
•Set line spacing to 1.5 cm.
•Apply Vancouver referencing style.
•Include page numbers in the footer.
•Add your ID in the header.
•Create a title page with your ID and an accurate word count.
•The word count excludes the reference list and headings/subheadings.
•Utilize dot points to manage the tight word count effectively.
Case Study Rubric
100 Marks
Not Yet Competent
Partially Competent
Competent
Sophisticated Working Diagnosis (16) Inadequately identifies the working diagnosis with minimal or no explanation of the pathophysiology, risk factors, or associated risks. (0-4) Identifies the working diagnosis with a basic explanation of the pathophysiology, including risk factors and associated risks. (5-8) Clearly identifies the working diagnosis with a good explanation of the pathophysiology, including some risk factors and associated risks. (912) Thoroughly identifies the working diagnosis with a comprehensive explanation of the pathophysiology, including detailed risk factors and associated risks. (13-16) Management Plan (20) Develops an inadequate management plan with minimal or no utilization and referencing of guidelines, and little to no justification or support from selected guidelines. (0-6) Develops a basic management plan, utilizing and referencing guidelines from any service, with some justification and support from selected guidelines. (7-11) Develops a clear management plan, utilizing and referencing guidelines from any service, with good justification and support from selected guidelines. (12-16) Develops a comprehensive management plan, utilizing and referencing guidelines from any service, with strong justification and support from selected guidelines. (17-20) Guideline Analysis (16) Offers little or no comparison and evaluation between the Ambulance Victoria guideline and other guidelines, with minimal discussion of pre-hospital specific literature. (0- 4) Provides a superficial comparison and evaluation of the Ambulance Victoria guideline to other guidelines, lacking key details and focus on prehospital specific literature. (5-8) Offers a basic comparison and evaluation of the Ambulance Victoria guideline to one or more pre-hospital guidelines, with some relevant details. (9-12) Provides a comprehensive and insightful analysis of the Ambulance Victoria guideline compared to one or more relevant, evidence-based pre-hospital guidelines, highlighting similarities and differences. (13-16) Literature Review (20) Conducts an inadequate review of the literature, with minimal identification of treatments and little to no discussion of interventions supported by evidence. (0-6) Conducts a basic review of the literature, identifying some treatments and discussing limited interventions supported by evidence. (7-11) Conducts a good review of the literature, identifying available treatments and discussing some interventions supported by evidence. (12-16) Conducts a thorough review of the literature, identifying available treatments and discussing interventions supported by evidence. (17-20) Guideline Recommendations, including visual article (20) Provides minimal or no recommendations for modifications to the current Ambulance Victoria guidelines, with little to no supporting findings. (0-6) Provides basic recommendations for modifications to the current Ambulance Victoria guidelines, based on limited findings. (7-11) Provides good recommendations for modifications to the current Ambulance Victoria guidelines, based on solid findings. (12-16) Provides well-supported recommendations for modifications to the current Ambulance Victoria guidelines, based on thorough findings. (17-20) Spelling, Grammar, and Referencing (4) Multiple spelling/grammar mistakes. Errors present and obscuring meaning in multiple places. Major referencing errors with Vancouver formatting. (0-1) Small spelling/grammar mistakes are distracting but not obscuring meaning. Moderate referencing errors with Vancouver formatting. (2) Little to no spelling or grammar mistakes. Minor referencing errors with Vancouver formatting. (3) No spelling or grammar mistakes. Referencing in Vancouver style is accurate and consistent. (4) Structure and Writing Style (4) Information within sections is unstructured, with some repetition or omissions. (0-1) The document includes appropriate sections, however in places the flow of information is disrupted by repetition or poor ordering of paragraphs. (2) The document includes clear paragraphs each with their own focus. Information mostly flows smoothly, except for minor omissions or repetition. (3) The document is effectively structured at each level. There is a smooth flow of information, without repetition or gaps. (4)
