Case Studies

When completing assignments for the next three weeks, please be sure to include an introduction and conclusion prior to your analysis and recommendations for each case study. Please remember you have to pick 4 scenarios. Thank you

Each of the following scenarios presents a situation based on a real world teaching situation that you may encounter during your career as an educator. Please respond fully to four of the eight scenarios listed. Responses must be written in APA format, include critical thought, and address all aspects of the chosen scenarios. Students should include direct reference to the week’s chapter as well as relevant personal and professional experiences where appropriate. Your finished paper must include a title page and reference page and should not exceed seven pages.

  1. Joanie is a 12th grade English teacher at Glenbrook South High School outside of Chicago. Her school serves an upper-middle class suburban population and her students are very focused on their studies. As a result, they are also very concerned about individual assignment grades. After three weeks spent reading Shakespeare’s The Tempest, Joanie prepares an exam that will assess students’ understanding of the major themes and literary devices used by Shakespeare throughout the test. She spends a weekend formulating 30 multiple choice questions and four short answer questions that she feels reflect the major focus points of the unit. On Monday, she reviews the information with her students and on Tuesday she gives the exam. Curious to see how her students did, she grades them later in the day and is shocked to find that nearly half of her students failed. Looking more specifically at the questions her students missed, she soon discovers that most students were unable to answer questions related to Shakespeare’s biographical history and that many also misunderstood major parts of the plot. Discouraged, she decides she needs to come up with a plan for how to revisit the information and retest her students.
    1. Suggest a three step plan that Joanie can use to identify the specific information students had trouble with, revisit those topics in class, and retest the information. How can she use the students that performed well on the test to help those who struggled? How can she stop students from being discouraged when they see a failing grade?
  2. Andre is a social studies teacher at a high school near Boulder, CO. His students are currently studying the French revolution, and while he feels confident with the amount of time he has spent planning the unit and the progress so far, he finds that he routinely has 5-10 minutes left at the end of class where students are left without an activity. Rather than wasting that time, Andre wants to find and instructionally productive means of using it that will help him gauge student progress as they read through the textbook over the next three weeks. Each daily reading assignment covers five pages of the text book. The end unit assessment is a 50 question test that covers the entirety of the French Revolution.
    1. Suggest an activity that Andre can do with this time that will act as a formative assessment to inform future class periods. Andre spends much of the class period lecturing, suggest a way that these final ten minutes of class can incorporate pairing or group work to engage students with each other.
  3. Jeff teaches a middle school art class at Charlottesville Jr. High in Charlottesville, VA. His school serves a diverse population of students, and within his classroom he has students of varied ethnicities and abilities. Over the course of the year, his students will be completing a variety of projects in a number of different artistic disciplines. As the year nears an end, Jeff begins to develop a culminating project. He wants his students to look back on their work from the year and to consider their successes and failures. He also wants them to reflect on how they have grown and to think about how this year’s work will develop them in the future.
    1. Write a 7-10 sentence description of a final project that Jeff could ask his students to create. Write it as an instructor, in language that students would be able to understand. Be sure that the project meets all of Jeff’s requirements.
  4. Eileen teaches elementary school math at a small school near Burlington, Vermont. Most of her students come from wealthy families who live in suburban Burlington and who come to class very prepared skill-wise for the teaching that takes place in her classroom. As a final project, she wants each of her students to present one of the concepts from the term to the rest of the students. Within their presentation, she wants each student to define the concept, give an example of it, and present a real world situation where the concept would be useful. She also asks each student to speak for at least two minutes. When she assigns the presentation, she wants to be certain that students understand the requirements of the assignment and how specifically they will be assessed. She also wants parents involved throughout the entire process.
    1. What are three specific resources that she should give to students in order to ensure they are prepared? As they present, how can Eileen be certain she is actually assessing what she claims to be? How can she offer students specific feedback on their presentations?
  5. Kate teaches at a Kindergarten near Boston at a school that serves one corner of Boston’s downtown population. Most of the students in her all day class are African-American and the school itself is located downtown and surrounded by the Boston cityscape. With Thanksgiving approaching, Kate wants to devote time in class to the history of Thanksgiving and how the holiday relates to American history. On one specific day of class, she decides to focus on the importance of the first meal. As one element of her instruction, she plans to teach students how to create turkeys using their hands.
    1. Suggest an instructional sequence focused on the creation of hand turkeys that includes :pre-assessment, to gauge students initial knowledge; informal assessment, to check understanding while the work is being completed; and summative assessment, to check for understanding once the work is complete.
  6. Megan teaches a sixth grade art class in a small school near Austin, TX. Most of her classes have 15-20 students of varied skill levels, cultures, and socio-economic backgrounds. Some of access to computers and technology, but many live in homes where technology is not readily accessible. She wants to find a way to embrace the varied backgrounds of her students in a project, and begins planning a multimedia project that requires students to share a specific element of their culture with the class in a 2-3 minute presentation. While she wants every student to put in the same amount of work, she also wants to give students a choice of projects. In all cases, she wants all presentations to include a creative visual element of some kind, a short speech that details how this element of each student’s culture has impacted them individually, and a brief history/timeline of the cultural element.
    1. Suggest three specific choices that Megan can offer to the students that would include all three presentation requirements: a creative visual, a discussion of the element’s importance, and a brief history/timeline. Consider options that focus on different skill sets: writing, visual arts, music, etc.
  7. Shelby teaches 9th grade Social Studies at a small high school in the rural plains of Kansas. Most of her students are farm kids who will end up working their parents’ farms for the duration of their time in Kansas. In order to make use of the abundant knowledge related to farming and farm equipment, Shelby decides to read Of Mice and Men with her students. Each day in class, she and her students read one chapter of the book and she wants to assign them evening homework that will follow up on the chapter. Once they are finished reading, they will be writing a five paragraph essay that focuses on one character from the book and how they change over the course of the text. For their final essay, students will be required to use quotes from the text as support for their paragraphs
    1. Suggest a nightly assignment that Shelby can give to her students that will reinforce the day’s reading but also help them in preparing for the final essay. What can Shelby do on a daily basis to confirm that all students are keeping up with their homework? How might she enlist the help of parents in keeping students on track?
  8. Kevin is a middle school U.S. History teacher in a suburban school near Philadelphia. Many of his students are children of Professors or other employees of nearby Penn University. As a result, many of his students have already been introduced to the many historic sights in and around Philadelphia. As a project to finish the quarter, Kevin wants to have each student visit a local historical landmark and teach the class about it. Before they present to the entire class, he wants to make sure that they are prepared and that they have a chance to practice their presentation. Specifically, he wants to make sure that all students are prepared to talk about the landmark’s history, their experience visiting it, and that they sound professional and prepared. Unfortunately, he does not have class time to listen to every student in class to make sure they are prepared.
    1. Suggest a way that Kevin can use the students in class to preview each speech and to check for the three specific elements he wants included (history, their experience, preparedness). Give detailed instructions for how Kevin can prepare his students and what resources he can use to ensure that all students are prepared before they give their final presentations

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Case Studies

Case Studies

The following are Case based learning projects.

They are worth 50% of your unit mark and therefore are important in terms of the learning process associated with the unit.

The questions following the cases are designed to stimulate Clinical and Situational awareness in the aeromedical retrieval environments and are based on an

expectation of a high-level clinical knowledge foundation.

Stimulating and enhancing your clinical understanding and developing your clinical thinking and application are an underlying goal.

It is assumed that you are a clinical member of the Aeromedical Team. The Case Studies will comprise:
•   Primary Retrieval: 2 Cases
•   Co-ordination: 1 Case
•   Secondary Retrieval: 1 Case
•   Total: 4 Cases

The assignment should be presented as per UNI guidelines and use an acceptable academic referencing system where necessary.

Use of bullets is acceptable to summarize pertinent points and information to save on word count.

The total word count for all submissions should not exceed 3500 words plus or minus 20%

Line spacing should be 1.5

Font may be Arial or Times New Roman

Submissions will be via TURNITIN.

Assignment 3

Pre-Hospital Cases: Case 1:
An 18-year-old male is the sole occupant, driver, of a utility vehicle and has rolled his vehicle several times while texting.

The rollover has happened on a sealed (Bitumen) country road in the

Wheat- belt of Western Australia.

A truck driver has reported that the vehicle suddenly lost control, and rolled over about three times before coming to rest on its wheels with the roof on the driver’s

side crushed but not trapping the driver.

Estimated speed was approximately 110 km/h.

The caller states the driver is still in the vehicle, not responding, but is breathing, with a large laceration on the forehead and bruising around the right eye.

No hazards observed on scene.

Relevant Information:

Aircraft option: Rotary Wing: landing site less than 30m away.

Ground resources: One Volunteer Services Ambulance and local Police

Service.

Retrieval options: Royal Perth Hospital (Trauma Centre) 120 minutes by road or 35 minutes by air

Environmental factors: Tuesday Morning 09:00, clear conditions

Questions:

1.1: Using the information so far available, outline your clinical plan prior to arrival on scene.

Clinical Information:

•   P: 120/min

•   BP: 150/90 mmHg

•   GCS 6 (E1 V2 M3)

•   No Allergies

•   No Previous medical history

•   No current medications.

1.2: Briefly describe Patient selection criteria for RSI (Rapid Sequence Intubation), paying particular attention to the airway examination component and predictors of

a difficult intubation.

1.3: Describe the key steps required in the performance of a Pre- Hospital RSI.

1.4 What are the risks and benefits associated with RSI in the trauma patient? Provide a critical assessment of your decision to RSI or not?

Case 2:

A 22-year-old female working at a dairy farm in a country town has been kicked in the chest and abdomen by a large bull.

She is complaining of dyspnea and abdominal pain, but remains alert.

The paramedic crew arrives about 15 minutes prior to your arrival, and reports the following:

•   GCS 15

•   No Loss of Consciousness

•   Cold & Clammy

•   Flail segment on right lateral chest wall with dyspnea.

•   Rigid abdomen in all quadrants with visible hoof mark over umbilicus.
•   NIBP: 90/60 (Usually 120/75)

•   Pulse: 120 beats/min

•   Spo2: 93 %, High Concentration Oxygen Mask

Relevant Information

Aircraft option: Rotary wing with a flight time of 30 min.

Ground resources: 1 Paramedic Ambulance (Not critical care/MICA/ICP).

Retrieval Options: Trauma center 30 min by air.

Other: No reported hazards on scene with a wide, flat paddock 30m away; time of incident to your arrival is less than one hour.

Questions:

2.1: Describe the clinical picture you could possibly derive from the given information and what instructions would you give the attending paramedic crew prior to your

arrival, if any?

2.2: What is your clinical plan and initial management? also briefly highlight any potential clinical deterioration that may be encountered ?

2.3: Describe how you will notify the receiving hospital of your planned arrival and how they might prepare for your arrival.

Co-ordination Case:

Case 3:

The four incidents in this case are focused on appropriate and effective resource allocation by a Doctor led aeromedical retrieval team.

Aeromedical retrieval is only effective if a high level of clinical coordination and guidance is maintained, especially when coupled with evidence based tasking

guidelines.

The following incidents need to be considered independently.

In each case the decision to mobilize, coordinate and support of the retrieval team rests solely with you.

All necessary media, information and technology are available to you to make your decision.

Incident 1:

The Metropolitan Ambulance Service communications center has briefed you on a developing incident in an urban area within your area.
Multiple calls have been received regarding a cyclist that has collided with a motor vehicle at a busy intersection.
The cyclist is reported to be unconscious.

Incident 2

You receive a call about a shooting in remote area some 60 minutes by rotary winged aircraft. It is 2am and raining.
A female made a single call and reported a gunshot as well as figure laying face down in her front yard.
A local ambulance crew has been dispatched but will not be on scene for

20 minutes.

Incident 3

A paramedic ambulance crew has requested activation of the medical helicopter to a rural property 30 minutes away by air.
The crew reports CPR in progress for a 65 year old female residing at the residence.

Incident 4

An ongoing incident has been phoned through. A car has been struck by a van on a freeway 25 minutes by rotary winged aircraft. Information is one person dead at scene

and another trapped with severe abdominal pain and
SBP of 90mmHg.

Questions:

For all 4 incidents discuss key points in the allocation of a Doctor based retrieval team resource allocation to these incidents. Include in your answer:
1.  Justification for activation or non activation based on the little information you have
2.  Problems that may be encountered

3.  Your actions to gain a clearer picture of the incidents

4.  Critically analyze what your team mix may be and why.

Comment [I1]: Need to get them all to this level of critical thinking.

Inter-Facility Case:

Case 4:

Following a fall from farm machinery, a 40-year-old male farmer in the Wheat-belt region of Western Australia, has sustained an intracranial hemorrhage and possible

spinal injuries.

He is currently located at a small medical center.

He is intubated and ventilated with the following ventilator settings:

•   Tidal Volume: 450ml

•   RR: 12 breaths/min

•   PEEP (Positive End Expiratory Pressure): 5 cmH20

•   FiO2: 28% Clinical Information:
•   P: 85/min

•   BP: 140/80 mmHg

•   SaO2: 98%

Relevant Information

Aircraft option: Fixed wing and Rotary Wing available

Local Resources: One Ambulance

Retrieval Options: State Major Trauma Centre (Specialist Neurological and Spinal Units included) 400 km away.

Environmental Conditions: Heavy Rain and 15°C

Questions:

4.1: Focusing on the principals of flight physiology, analyze how this patient could be affected and the measures you would take to
mitigate or eliminate any adverse occurrences.

4.2: Taking all the factors into consideration, critically justify your

choice of transport platform.    Comment [I2]: Introduce questions that ask for critical appraisal/analysis
rather than describe.

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