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stab wound


brock8024

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OK this is to test how much we retained in A&P classes.

You are dispatched a 18yr white male with a stab wound to the right thigh. Pt is laying supine in the floor in a large pool of blood.

That is all I am going to give you right now. There is two things I will ask for.

1) everything you would do for this pt. NOTHING IS ASSUMED. you have to say everything and like ACE and Ditch Doc you have to explain you actions.

2) Anatomically name the structures that could possible be damaged. Then explain physiologically what is going on with the pt. down to hormones and other system functions.

Anything you need to know or want to know just ask. BTW if you list a hormone you also have to name what structure also makes it.

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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...

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