No circulation
Thanks Red for re-iterating my point. Severe neurovascular compromise wou ld be consistent with findings of "no circulation". The comment that i made about re-implantion was to simply illustrate a point. The data that i have read regarding successful re-implantation shows...
here we go...
Throw her in the most pt friendly vehicle. Administer oxygen NRB - dont gotta bag quite yet, but its comin. control all areas of hemorrhage, fer cuz she needs every little RBC that she has. Oh yeah, and haul ***.
Potential vascular compromise
Could it not be said that all fx's have potential vascular compromise? And, in light of that, we should manipulate every fx.
Rather, what is the clinical presentation of vascular compromise? A capillary refill of 3 secs? A mottled, cyanotic, cold portion...
Ridryder hit the nail on the head! Ask any firfighter who their representative is and they will tell you...
EMS has not and does not have an organized body that represents our interests in government. How many bills are on the floor of your house that will effect who you are or what you do...
manual traction...
I dont believe that manual traction is warranted on every fx. Some times that i would consider traction:
1. Only if you are going to manipulate it in an attempt to reduce the Fx in
the presence deteriorated neurovascular function.
2. If angulation is severe...
Check AMLS... ~5J. Even for the EMT-B. If its me punch me in the sternum as hard as you like and as many times as you like. My wife wont sue you. Im worth more dead than i am alive! hahahaha
A NRB or partial NRB w/ 2-3 l/m oxygen attached works well for psychogenic hyperventilation. One also might try 20-30" of ventilator tubing as well. Just have the patient breath through it. You just might consider placing NC oxygen as well. Just in case there is a hypoxic component...