The prehospital nurse is screening several people injured in a store robbery. Of those injured, the nurse should encourage which one to seek additional care at the nearest emergency department?
1. Male in his mid-20s who had several light boxes of products fall on him while the robbers ran through the store
2. Teenage female who took cover under a shelving unit and sustained a scratch on her arm
3. Middle-age female who crouched down in a corner of the room and strained her knee
4. Elderly male who was briefly unconscious
4
Rationale 1: Because this patient is young and the boxes were light, emergency care will probably not be needed.
Rationale 2: This teenager sustained only a minor injury that could be treated at the scene. She should be referred to her primary care physician for follow-up if necessary.
Rationale 3: A knee strain can likely be managed at home or through follow-up with her personal primary care physician.
Rationale 4: An older patient who was briefly unconscious may have suffered a cardiac or neurologic event, or may have simply fainted. The patient should be evaluated for the reason for the unconsciousness.
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