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MVA with chest pain

mva chest pain cardiac

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13 replies to this topic

#1 EPmedic

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Posted 13 December 2012 - 07:23 PM

Hello everyone been practicing some scenarios while I sit at an airport awaiting a flight back overseas to work.... its been a long time since I have been in a classroom.

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?
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#2 EPmedic

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Posted 14 December 2012 - 06:36 PM

hmm, im going with spinal proticals, o2, pulse ox, IV TKO, GCS and vitals.. a lot of times though overseas i dont have nitro.
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#3 Arctickat

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Posted 14 December 2012 - 07:22 PM

Just wondering, why does it matter that she's a Command Sergeant Major? Does that modify your assessment or treatment in any way?

I think she has pericarditis.

Edited by Arctickat, 14 December 2012 - 07:24 PM.

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#4 EPmedic

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Posted 14 December 2012 - 07:37 PM

no it does not matter at all, its just the way it was written. guess because its miltiary
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#5 ERDoc

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Posted 14 December 2012 - 09:33 PM

Why are you participating in your own scenario? Which came first the chest pain or the MVA?
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