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Butterflies Health Post
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Mujahid suffered Severe Head Injury with Diffuse Axonal Injury, multiple Small RT Parieto-occpital Contusions. He also suffered RT Parietal and Occipital Fracture after he fell from the train after getting hit by Iron Post pillars adjoining railway tracks. The boy started having seizures immediately and showed spasticity in all four limbs. Tracheostomy was done, Foley catheter placed and he was intubated with Diet – NBM, Nill by Mouth. |
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At Health Post |
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Mujahid is lucky when it comes to researching on Train accident victims. Maximum number of casualties ends up in severe amputations and deaths. Mujahid’s all four limbs and other body parts are fine, but acute damage to brain and nervous system has resulted in ear bleed, recurrent seizures, spasticity in his arms and legs and Hemiplegia in left side. He did receive injuries on his face, legs and arms that have been healed finely. |
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On Examination |
< Patient unconscious, GCS - E2,
V3, M4
< B/P 110 /70,
< P/R 86 / minute,
< Chest B/L Clear
< CVS S1 S2 ®
< No Murmur
< CNS Unconscious
< Planter B/L Mute
< No Neck rigidity
< No Nsytagmus
< Pupil B/L Mid dilated – NRTL
< P/A Soft, No organomegaly
< Bowel sounds +
< RR 20 / minute
< P+ I ¯ Ed ¯ CL ¯ CY ¯
< SPO2 99%
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RT in SITU, Catheter in SITU, Scalp Wounds- H, 2 previous S/R today, Fresh
abrasions +, Right Knee / left Elbow / Lumber region. No other external
injuries, CCT / PCT –ve, No Tongue Bite, Spasticity +ve all four limbs, Pt ?
physiotherapy. Urine Output: 1000ml / 24 hours, Stools – Normal (3 episodes).
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Treatment as advised by the Neuro surgeon
– Max Hospital. |
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Nutritious diet - Milk, Juice, Dal Water
and ORS through RT feed tube. |
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His Condom catheter has been changed and
fresh urine bag placed to collect and measure accurate
Urine output
for the day |
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Latest CT scan done at Max Hospital.
Surgery not suggested. MRI recommended to correlate findings of CT
Scan |
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Diapers have been arranged to maintain
boy’s personal hygiene and body comfort |
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Daily 4 – 5 times body massage to curtail
the chances of bed sores or pressure sores on his body |
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Regular sponging. |
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Mujahid’s Progress report to be forwarded
to Child Welfare Committee on a fortnightly basis
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Mujahid’s Urine bag and
catheter will be changed every 1-2 weeks. His RT tube will be managed
adequately.Mujahid’s mother is also being taken care of by Butterflies
with regards to food, clothing and lodging. She is being counseled
regularly about her son’s condition, treatment and his management.
Butterflies also made arrangements for her to see her younger children.
Her elder son was also provided counseling about the present situation
and requirement of his effort in taking care of younger siblings to
provide his mother some relief from tension about their care and
wellbeing. |
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