MVA with chest painmva chest pain cardiac
Posted 13 December 2012 - 07:23 PM
Here it goes, also all the medics here are at least EMT-I, with a few military medics thrown in...
You arrive to the scene of an Humvee accident. A female Command Sergeant Major has lost control of her vehicle and driven into a ravine at a slow rate of speed. She is complaining of chest pain, and skin is cool, moist, and pale. She is having difficulty breathing. Your first assessment, you find a seat belt imprint on her chest.
Her vital signs are B/P 178-90, HR 104, R 22, and pulse oximetry is 95%.
She has numbness and tingling down her left arm
Age: 55 years old
Prior history: she tells you she hurt her back a week ago
How do you treat this patient?
Posted 14 December 2012 - 06:36 PM
Posted 14 December 2012 - 07:22 PM
I think she has pericarditis.
Edited by Arctickat, 14 December 2012 - 07:24 PM.
Posted 14 December 2012 - 07:37 PM
Posted 14 December 2012 - 09:33 PM
Posted 15 December 2012 - 04:25 AM
How big of a ravine? 10 feet or 100 feet? steering wheel bent or deformed?windshield intact? LOC?
Rib cage intact. lung sounds equal?quick set of vitals.
What does her presentation show as to history. recent problems beside back pain, co-morbitities, Medications prescribed?
Posted 15 December 2012 - 05:20 AM
So tell us about our soldier patient,
When did her chest pain begin?
Has her chest pain been evaluated before?
What was the nature of her back injury and the MOI that caused it?
At what level was her back injury?
Is the Command Sargent Major an overachieving hard charger that may have ignored that might have neglected to report a injury?
Was her back injury evaluated?
Did she have tingling in her arm before the accident?
Did she have difficulty breathing before the accident?
Why did she loose control of her vehicle? Was the loss of control of the vehicle provoked by an existing medical condition?
Edited by DFIB, 15 December 2012 - 05:22 AM.
Posted 15 December 2012 - 03:35 PM
no prior history of cardiac problems.
She started noticing the tingling and breathing problems after she stopped.
Prior back injury, seems to be from lifting something to heavy she says, and she did not go to medics to have it checked out, only taking OTC meds for the pain.
Posted 15 December 2012 - 03:48 PM
Posted 16 December 2012 - 01:17 AM
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