Texas EMS Magazine, Volume 33, Number 6, November/December 2012 Page: 31
40 p. ; col. ill. : 28 cm.View a full description of this periodical.
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About the author
Jolene Cormier is an EMT-P, CHT, and
safety director at the Baylor North-Irving
Coppell Hyperbaric and Comprehensive
Wound Center. She started as a paramedic
in Nova Scotia in 2002. She is currently
completing her Bachelor of Science degree in
emergency health services at the UT Health
Science Center in San Antonio.
References
1. National Institute of Neurological Disorders and Stroke.
National Institutes of Health. Aug. 2011. NINDS Bell's palsy
Information Page. Retrieved from: www.ninds.nih.gov/disorders/
bells/bells.htm.
2. Taylor, D., Keegan, M. 2011. Bell palsy. Medscape
Reference. Retrieved from: http://emedicine.medscape.com/
article/I 146903-overview.
3. Adour, KK., Bell, D., Hilsinger, R. 1975. Herpes
Simplex Virus in Idiopathic Facial Paralysis (Bell palsy). The
Journal ofAmerican Medical Association. Retrieved from:http://jama.ama-assn.org/content/233/6/527.short.
4. Piercy, Jo. 2005. Bell's palsy: 10 minute consultation.
BMJ Vol 330. Relieved from: https://docs.google.com/viewer?a
=v&pid=gmail&attid=0. 1&thid= 137095b7053cef37&mt=applic
ation/pdf&url=https://mail.google.com/mail/?ui%3D2%26ik%3
D9e73bb28bd%26view%3Datt%26th%3D137095b7053cef37%
26attid%3D0.1l%26disp%3Dsafe%26realattid%3Dfile0%26zw&
sig=AHIEtbQwid-uSWYgc8d lTaCcqflYoc6gFw.
5. De Diego, JI., De Sarria, MJ., Gavila, J., Prim, MP.,
Madero, R. 1998. Idiopathic Facial Paralysis: A Randomized,
Prospective, and Controlled Study Using Single-Dose
Prednisone Versus Acyclovir Three Times Daily. The
Laryngoscope. Vol 108, Issue 4, Pg. 573-575. Retrieved
from: http://onlinelibrary.wiley.com/doi/10.1097/00005537-
199804000-00020/abstract.
6. Teixeira, LJ., Valbuza, JS., Prado, GF. 2011. Physical
Therapy for Bell's palsy (idiopathic facial paralysis). Pubmed.
gov. Retrieved from: www.ncbi.nlm.nih.gov/pubmed/22161401.
7. Tiemstra, Jeffrey., Khatkhate, Nandini. 2007. Bell's
palsy: Diagnosis and Management. American Family Physician.
Vol 76, Number 7. Retrieved from: https://docs.google.com/view
er?a=v&pid=gmail&attid=0.2&thid=I 37095b7053cef37&mt=ap
plication/pdf&url=https://mail.google.com/mail/?ui%3D2%26ik
%3D9e73bb28bd%26view%3Datt%26th%3D 137095b7053cef3
7%26attid%3D0.2%26disp%3Dsafe%26realattid%3Dfile2%26z
w&sig=AHIEtbRV53d9jplSbO8oyBN I Rixlgybxmw&pli=1 .Bell's palsy quiz
Scenario
You are called to the home of a 37-year-
old man who is married with two young
children. Even though it is a school day in
November, all the family members are in the
home because the two children are home sick
with the flu. The patient reports experiencing
numbness on the right side of his face about
an hour ago. When he mentioned it to his wife,
she noticed the facial paralysis on the right side
and called 9-1-1 worried he may be having a
stroke. When you arrive on scene the patient is
alert and oriented but anxious; he is sitting in
a chair in the kitchen and drooling profusely.
You note facial drooping on the patient's right
side, and fluid is leaking from the patient's
right eye. Respiratory rate is slight tachypneic
at 24 breaths per minute, skin is pink, warm
and dry and heart rate palpated at the radial
pulse is 112 beats per minute and regular.
1. The most appropriate action to take first is
A. Apply 100 percent oxygen with a non-
rebreather mask
B. Check for track marks and other signs
of drug abuse
C. Ensure a patent airway, suctioning if
necessaryD. Start an IV with NS 0.9% as a drug
route
2. You find out from the patient's wife that his
medical history includes childhood asthma
and seasonal allergies; he has no drug or
food allergies; and he takes a multivitamin
every day. The patient tells you he also has a
headache that is worse behind his right ear.
He has no other complaints. Which of the
following are pertinent to report in the patient
chart?
A. No history of CVA, TIA, hypertension
or diabetes
B. Recent illness in family
C. Acuteness of symptom onset
D. Pain behind the right ear
E. All of the above
3. The tachypnea and tachycardia in this
patient are most likely due to
A. Shortness of breath from an asthma
exacerbation
B. Anxiety
C. A cerebrovascular accident affecting
airway patencyNovember/December 2012 Texas EMS Magazine 31
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Texas. Department of State Health Services. Texas EMS Magazine, Volume 33, Number 6, November/December 2012, periodical, November 2012; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth541925/m1/31/: accessed July 18, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.