chbare Posted July 1, 2009 Share Posted July 1, 2009 You are called to the scene of a motor vehicle accident. Take if from here. Take care, chbare. Link to comment Share on other sites More sharing options...
Eric Posted July 1, 2009 Share Posted July 1, 2009 ok what is the time of day or nite weather i ask for this well tell me how many show up at the house to help Link to comment Share on other sites More sharing options...
spenac Posted July 1, 2009 Share Posted July 1, 2009 scene safe? How many patients? How far from hospital? Any patients need extricated? Link to comment Share on other sites More sharing options...
chbare Posted July 1, 2009 Author Share Posted July 1, 2009 It is early afternoon ~1400. Weather is clear, sunny, and warm with a temp of ~30 Celsius. PD have secured the scene and no hazards have been identified. You have a single patient. Transport to nearest hospital is ~ 15 minutes & ~22 minutes to the trauma centre. No need to extricate. Take care, chbare. Link to comment Share on other sites More sharing options...
Eric Posted July 1, 2009 Share Posted July 1, 2009 in that case we let the ems crew take over and stand back Link to comment Share on other sites More sharing options...
joesph Posted July 1, 2009 Share Posted July 1, 2009 It is early afternoon ~1400. Weather is clear, sunny, and warm with a temp of ~30 Celsius. PD have secured the scene and no hazards have been identified. You have a single patient. Transport to nearest hospital is ~ 15 minutes & ~22 minutes to the trauma centre. No need to extricate. Take care, chbare. Ok ABC"S is paitent consious what is your initial impression, what can you tell me about the accident(mechanism?) any apparent life threats, any LOC did airbags deploy? Fill some of these in then we will get to work. Link to comment Share on other sites More sharing options...
chbare Posted July 1, 2009 Author Share Posted July 1, 2009 (edited) Patient is unresponsive to verbal command but withdraws from painful stimuli. You note rapid shallow respirations at approx. 24 with snoring and trismus. You note a pulse of 100 strong and slightly irregular. Patient is a 29 year old male who was "driving erratically" on his motorcycle. He was chased by the police and eventually did an up and over at about 30 miles per hour. Take care, chbare. Edited July 1, 2009 by chbare Link to comment Share on other sites More sharing options...
joesph Posted July 1, 2009 Share Posted July 1, 2009 (edited) Patient is unresponsive to verbal command but withdraws from painful stimuli. You note rapid shallow respirations at approx. 24 with snoring and trismus. You note a pulse of 100 strong and slightly irregular. Patient is a 29 year old male who was "driving erratically" on his motorcycle. He was chased by the police and eventually did an up and over at about 30 miles per hour. Take care, chbare. Ok get one of the firemen (or cop) to hold c-spine and do a rapid head to toe what are my findings, partner hooks up o2 on nonrebreather 15 lpm and gets baseline vitals,what the situation look like can he be long boarded right there or any other problems with spinal immobilization. In the head to toe also looking for amulets, wallet for any history that might be important. whats his breath smell like sweet, alcohol anything oh yeah way back there is the airway patent what do we see in his mouth. Edited July 1, 2009 by joesph Link to comment Share on other sites More sharing options...
chbare Posted July 1, 2009 Author Share Posted July 1, 2009 Ok get one of the firemen (or cop) to hold c-spine and do a rapid head to toe what are my findings, partner hooks up o2 on nonrebreather 15 lpm and gets baseline vitals,what the situation look like can he be long boarded right there or any other problems with spinal immobilization. In the head to toe also looking for amulets, wallet for any history that might be important. whats his breath smell like sweet, alcohol anything oh yeah way back there is the airway patent what do we see in his mouth. He has a medic alert tag that states "diabetic." He continues to have snoring, rapid respirations. You are unable to visualize his oral cavity because of the trismus. VS: P-108, RR-25, BP- 180/100, SPO2-88% on partial rebreather. Head to toe is significant for a contusion to the patients forehead without crepitus and you note right hip flexion with adduction and internal rotation of the right foot. Take care, chbare. Link to comment Share on other sites More sharing options...
Kiwiology Posted July 1, 2009 Share Posted July 1, 2009 Hmm ok lets get him on a board and collar, wait a minute and see if trismus lightens up and we can pop in an OPA otherwise drop in an NPA, do a quick RTA and get him in the bus Link to comment Share on other sites More sharing options...
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