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Saint Mary's Hospital
Emergency Department






Patient name: Jeon Hyori
Birthdate: June 3, 2016
Age: 0 years, 7 months
Sex: Female




Assessment:

Patient presented to the emergency department via ambulance following an automobile accident. Patient is alert and oriented. Infant is fussy but in no acute distress. Injuries sustained are minor.

Radiology indicates no evidence of concussion or fracture.



Condition: Good

Patient discharged in the care of her mother and grandmother. Mother understands what signs and symptoms require return visit to the emergency department. Instructed to follow up with pediatrician within 24 hours.









Areum rested her cheek against the forehead of her granddaughter, speaking softly to her to quiet her intermittent tired cries. Hyori gripped a handful of Areum's shoulder length hair with a tiny fist, the first two fingers of her other hand in her mouth as she pacified herself.



Her pacifier was lost in the crash.



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Patient name: Han Hyun-Ji
Birthdate: September 23, 1997
Age: 20 years
Sex: Female




Assessment:

Patient presented to the emergency department via ambulance following an automobile accident. Patient is alert and oriented.

Patient has diagonal bruising across the chest wall due to seat belt shoulder restraint. No underlying clavicular, sternal or rib fracture. Patient also sustained a sprain of the left wrist. Diffuse musculoskeletal pain is reported. Pain management administered.

Patient is in moderate to severe emotional distress.




Diagnoses:

Concussion with loss of consciousness, moderate

Contusion, chest wall

Abrasion, chest wall

Sprain of wrist, left

Grief reaction




Condition: Fair

Patient advised to seek grief counseling services. Referrals provided, however, the patient declined.

Patient understands what signs and symptoms require return visit to the emergency department and was discharged in the care of her mother. Instructed to follow up with her primary care physician within 24-48 hours.









"I don't need grief counseling because he's still alive!"

Her yelling made the eyes of anyone within earshot turn towards her, instantly becoming filled with sympathy or somber curiosity. She drew in one deep breath after another, her violently trembling body making each exchange of air labored and shaky. Tears rolled down her cheeks, mixing with the dried blood on her face, making the salty liquid murky, the resulting combination staining her shirt.

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