The Clausing Family
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 "to the girl who hit my dad"
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Injuries and Conditions

Below is a list we made to help remember what Ryan experienced and what his family worried about and watched him face every day while hospitalized.

Injuries
Two chipped teeth
Right tension pneumothorax (collapsed lung)
Pulmonary contusion
Cardiac contusion
Right ankle fracture
Right lower leg degloving injury
Right first rib fracture
Right clavicle fracture
Right scapula fracture
Right distal radius fracture (wrist fracture)
Chip in right ulna
Nerve damage affecting right ring and pinky fingers
Occipital Condyle fracture
3 part cervical 1 vertebrae fracture
Thoracic 4-5 fracture dislocation (burst T 4-6)
Spinal cord injury-paraplegic; Injury level T3 (nipple level)
Closed head injury-TBI (traumatic brain injury)

Conditions
Unstable (low) blood pressure
High heart rate
High fevers
High breathing rate
Low oxygenation sats
Respiratory insufficiency (many components)

Unstable ABG's – blood gases/pH levels
Myoglobin in urine
Unstable sodium levels

Pneumonia (organisms): Klebsiella, Enterobacter, Pseudomonas, Streptococcus
Intestinal infection: C-Diff (Clostridium Difficile Colitis)
Bladder infection (UTI)
MRSA – head wound, sputum from lungs
Thrush: tongue
Tongue swollen and chewed (while under sedation)

Dysphagia – tube feedings, special diet
Decubitus ulcer on occiput (from c-collar)
Skin excoriation
Severe blistering resulting in open wounds in right foot
Edema – right leg

Tests & Interventions (Not including medications)
Multiple x-rays-daily chest for weeks, full body
CT scans
Serial labs-blood, urine, stool, sputum
Multiple daily fingersticks for blood glucose monitoring
Daily blood draws for ABG monitoring
Ultrasounds

Medial & lateral fasciotomies RLE
Open reduction & internal fixation to radius (wrist surgery)
Bilateral wrist splints
Posterior spinal fusion surgery T2-8
Post-op spinal drains
Skin grafting on RLE

Nasally intubated at scene
3 chest tubes
Cervical collar

Paralytic
Sedated
Ivs
Leads for heart rate monitor
Arterial Line to monitor blood pressure
Oxygen monitor taped to finger
White blood clot leg cuff
Tongue suppressor (tied around face)

Tracheostomy
Ventilator
Multiple bronchoscopies for mucous plugging & secretions
Red rubber suctioning through trach for lung secretions
Breathing treatments through trach
Oral feeding tube
Gastrostomy tube (G-tube)

Vacuum assisted-closure dressings (wound vac) RLE
Cam walking boot RLE
Lenard boot (drop foot) LLE

Foley catheter
Straight catheter
ECD catheter

Rectal tube-FMS (fecal management system)
Bowel Program-dig stim, manual removal, suppositories, enemas, brief

Cooling blanket (down to 40 degrees F)
Ice packs, fan, damp washrags
Abdominal binder
Ted Hose

Repositioned every 2 hours to prevent skin breakdown/pressure sores in bed
Pressure relief every 30 minutes in wheelchair
Aggressive neuro-assessments (in ICU)
Fan and cold, damp wash rags on head for excessive fevers and sweating
Allowed only damp swabs (sponge sticks) instead of water to drink

Rehabilitation Issues
Impaired mobilities
Impaired self-care activities
Impaired strength and endurance
Impaired sensation
Impaired respiration
Impaired skin integrity
Impaired swallow
Impaired cognition
Restricted weight-bearing

Rehabilitation Services
Speech Therapy
Pulmonary Therapy
Physical Therapy
Occupational Therapy
Anodyne Therapy
Psychological Services
Nutrition & Dietitian Services
Case Management Services
Spinal Cord Injury Education Group
Brain Injury Education Group