FRANKENSTEIN

Sometimes I call an NPA a "noob toob"

Slingshot

Syringe full of air

AED with a hacked chip that shocks only when it shouldn't

Ask their name to assess AVPU, assess ABC's, treat as necessary, gain S and E of SAMPLE to determine mechanism of injury, C-spine if appropriate

Treat with high flow O2 nonrebreather 15 Liters

roll patient onto side, asses back and buttocks/thigh, apply 4 x 4's as necessary to stop bleeding.

If patient is unconscious, rapid trauma assessment, control bleeding + 02 for shock, backboard, transport.

If there's protruding objects, immobilize top part of body to spine board with voids packed on bottom half of body, so the object doesn't jam further in there.

Feign interest unless something catches fire...

A sniper's bullet in fallujah

One of two groups, both were controlled by the worldwide Illuminati

Abu Musab al-Zarkawi

A heat-guided Syrian missile

Mortar fire

Misplaced artillary

A landmine

And that's just the first page. Guess I gotta join the military...

Well, in reference to scenario number 2 (to avoid confusion), the patient going home paraplegic was the actual outcome. I want to know what you would to to get a better outcome. This is while impossible scenarios are cool, you get to guage your response to an impossible situation.

In reference to the actual outcome of scenario 1: People died a lot

So how did this one turn out???

Um, they got him out after about forty mins, but failed to C-collar him at all. He was paralyzed below the nipple line.

Ok here's one I saw last month

A guy tries to have a little competition between his SUV and the city's light rail, light rail wins (it's a train after all) and his car is totaled with him inside it.

You pull up alongside fire, scene is relatively safe (no fire, basically sharp wreckage), but the guy inside is morbidly obese. The vehicle is crumpled on its side. You can't get someone in there to hold c-spine, and no size collar will fit on his neck (giant roll of fat). It's gonna take 40 mins for the fire guys to cut him out of his car (he's too fat for any other solution.) Oh yeah, and since his SUV's on the side, his spine isn't in-line, his head is tilted towards the ground.

How do you make it so this guy doesn't go home a paraplegic?

bonus points: what would you do if he stopped breathing? (this didnt happen)

These are all truly excellent answers

I like the response of "treat your partner because he's the only one in the safe zone"

Hate to think what would happen if your radio suddenly shorted out... :x

Sac city metro

The vietnamese in the south seem to crash their cars a lot :shock:

You think you're good at scenarios? At Sac Metro they test us on seemingly impossible scenarios that have actually happened in real life, just to see how we'd fare. I thought I'd share a few with you because I'm bored and want to see how you do.

Scenario 1:

You are an EMT-B assigned to an ALS unit. You pull up on a structure fire. There are about 7 people with severe burns lying around in front of the building, and you are the first unit to respond to the location. The building is fully engulfed on all floors, people have been jumping from the upper stories to save themselves (hint: this part is important!)

You exit your ambulance, check scene safety, put on BSI and are about to get to work. You hear a responding fire unit coming to your location. However, it has been raining lately and the streets are slick. The fire engine loses control, barrels into your EMT-P partner, and crashes into the building lengthwise. Your partner is thrown about ten feet and lies motionless. The fire engine is becoming engulfed in the flames, and no one is exiting the vehicle.

What do you do?

That's scenario 1, more to come. Keep in mind, these scenarios HAPPENED.

also: post your own!