chbare Posted May 17, 2010 Share Posted May 17, 2010 You are called to the scene of a motorcycle accident... Take care, chbare. Link to comment Share on other sites More sharing options...
mobey Posted May 17, 2010 Share Posted May 17, 2010 ALS/BLS? Ambient temperature? Backup avail? No of patients? Don BSI Link to comment Share on other sites More sharing options...
chbare Posted May 17, 2010 Author Share Posted May 17, 2010 ALS/BLS? Ambient temperature? Backup avail? No of patients? Don BSI Any level you want. 30 Celsius. Just you and your partner. Reported to be a single patient. Take care, chbare. Link to comment Share on other sites More sharing options...
mobey Posted May 17, 2010 Share Posted May 17, 2010 What does the scene look like? Call police/fire for traffic control. Link to comment Share on other sites More sharing options...
chbare Posted May 17, 2010 Author Share Posted May 17, 2010 Scene is controlled, looks like a motor cycle went head on into a guard rail. Take care, chbare. Link to comment Share on other sites More sharing options...
Kiwiology Posted May 17, 2010 Share Posted May 17, 2010 Check the patient, primary and secondary survey; baseline vitals etc Link to comment Share on other sites More sharing options...
speedygodzilla Posted May 17, 2010 Share Posted May 17, 2010 (edited) Scene is controlled, looks like a motor cycle went head on into a guard rail. Take care, chbare. Ok well it sounds like it is time to take a look at our patient. *Don't forget your reflective vest! Lets get a primary exam: -Position found? Base of mechanism take spinal precautions. -LOC found? -AVPU? -ABCs? Patent? Breathing quality, depth, and rate? Ciculation intact? Skin temp, color, condition? -Confused? -Any LOC change? Well that should get us started. Edited May 17, 2010 by speedygodzilla Link to comment Share on other sites More sharing options...
chbare Posted May 17, 2010 Author Share Posted May 17, 2010 You find him prone out in the dirt about 30 feet from the guard rail with obvious bilateral mid femur deformities. He is not moving and does not respond as you approach. Looks like he went head on into the guard rail and took an up and over off the bike, finishing off this feat of acrobatic skill with a face plant. You notice rapid, shallow and irregular breathing as you approach. The police validate your suspicion with a story that pretty much matches. Tried to stop the dude, he took off, eventually went into a guard rail dodging traffic while attempting to evade the police. Take care, chbare. Link to comment Share on other sites More sharing options...
HellsBells Posted May 17, 2010 Share Posted May 17, 2010 (edited) - Have a co-worker/FF take C-spine control - Make sure someone grabs the Longboard, c-pine eqiupment - If helemt allows access, open airway, insert OPA - Quickly check back for trauma, wounds and roll pt onto board - Remove helmet while maintaining C-spine - Assess LOC, ABC's, Vitals - support ventilations with BVM 8-10/min 15LPM - Secure on board, Move pt into ambulance - Alert Air Medivac- Dependent on duration of trip - Repeat Vitals, assess LOC cut away clothing - Bilateral IV @ AC, as large bore as possible, fluid bolus to 90 systolic- as needed - BGL, Temp, Monitor, End Tidal C02 - Rapid Tranport- or air transport as warranted - Bilateral traction splints to femurs - Consider intubation - Patch level 1 trauma center I'm probably getting ahead of myself, as all the details of the pts condition have not been revealed yet. Edited May 17, 2010 by HellsBells Link to comment Share on other sites More sharing options...
joesph Posted May 17, 2010 Share Posted May 17, 2010 (edited) - Have a co-worker/FF take C-spine control - Make sure someone grabs the Longboard, c-pine eqiupment - If helemt allows access, open airway, insert OPA - Quickly check back for trauma, wounds and roll pt onto board - Remove helmet while maintaining C-spine - Assess LOC, ABC's, Vitals - support ventilations with BVM 8-10/min 15LPM - Secure on board, Move pt into ambulance - Alert Air Medivac- Dependent on duration of trip - Repeat Vitals, assess LOC cut away clothing - Bilateral IV @ AC, as large bore as possible, fluid bolus to 90 systolic- as needed - BGL, Temp, Monitor, End Tidal C02 - Rapid Tranport- or air transport as warranted - Bilateral traction splints to femurs - Consider intubation - Patch level 1 trauma center I'm probably getting ahead of myself, as all the details of the pts condition have not been revealed yet. yeah but you kicked ass after hells bells plan I would add, if air not available apply diesel liberally. Edited May 17, 2010 by joesph 1 Link to comment Share on other sites More sharing options...
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