SC Bird
Forum Lieutenant
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Had an internship on Friday that turned out my first trauma. We got dispatched for an MVA rollover with 2 ejected. Arrive on scene, one pt. prone in the roadway and another pt. in the ditch. Truck is demolished. Medic gets out of the truck and says, "Take the one in the ditch."
After five seconds of the oh **** factor...I snap into it.
So there I am on my own with a police officer/first responder. Pt. is conscious and alert but confused. Pt. is in mud and a couple inches of water and she is COLD. Difficulty breathing and lower back pain is primary complaint. Despite pt. talking to me and responding to questions, I can't find a pulse. :unsure: :unsure: :unsure: :unsure: :unsure: I know I need to get her off scene and quick. By that time, FD shows up. She's collared, backboarded and secured.
At this time ( since transport to Level 1 center they are undoubtedly both headed for is 25 min-30 min ), the medic has decided to fly his pt (multiple avulsions, deep laceration to left abdomen, no feeling inferior umbilicus :sad. We have a five minute run to the LZ, so we need to get both pts in our rig. Mine goes up onto the bench seat and is secured. Other pt. comes in on the stretcher. Everbody goes to work. Pts. exposed, head to toes done, IV's started, fluid running.
On scene time, 7 minutes. B)
I give the medic my update on my pt. Three crew members unable to find a pulse on my pt. who is still talking and screaming in pain. Can't get a pressure. Large contusion across sternum and left breast. Lung sounds are clear but diminished in lower left. Pt. not tolerating NRB, SpO2 95%. Rigid abdomen but no distention. Pelvis is tender. Pt. feet appear to be posturing. Motor and sensation present in all extremities but no pulses.
We rendezvous with the bird. Turns out one of my instructors is one of the crew who will be flying my pt's in. Decision is made to fly both pts.
Transfer of care is made....bird lifts off.
:wacko::wacko::wacko:
"That was crazy...but I loved it," I thought to myself.
Updates on the pts. Patient number 1 (my preceptor's patient), T6, T7, T8 completely exploded. :sad::sad:
My pt. had a spleen laceration, liver laceration, and pulmonary contusion. :sad::sad: Both were on the vent and "deep in the woods".
So there ya go....my first trauma call.
-Matt
After five seconds of the oh **** factor...I snap into it.
So there I am on my own with a police officer/first responder. Pt. is conscious and alert but confused. Pt. is in mud and a couple inches of water and she is COLD. Difficulty breathing and lower back pain is primary complaint. Despite pt. talking to me and responding to questions, I can't find a pulse. :unsure: :unsure: :unsure: :unsure: :unsure: I know I need to get her off scene and quick. By that time, FD shows up. She's collared, backboarded and secured.
At this time ( since transport to Level 1 center they are undoubtedly both headed for is 25 min-30 min ), the medic has decided to fly his pt (multiple avulsions, deep laceration to left abdomen, no feeling inferior umbilicus :sad. We have a five minute run to the LZ, so we need to get both pts in our rig. Mine goes up onto the bench seat and is secured. Other pt. comes in on the stretcher. Everbody goes to work. Pts. exposed, head to toes done, IV's started, fluid running.
On scene time, 7 minutes. B)
I give the medic my update on my pt. Three crew members unable to find a pulse on my pt. who is still talking and screaming in pain. Can't get a pressure. Large contusion across sternum and left breast. Lung sounds are clear but diminished in lower left. Pt. not tolerating NRB, SpO2 95%. Rigid abdomen but no distention. Pelvis is tender. Pt. feet appear to be posturing. Motor and sensation present in all extremities but no pulses.
We rendezvous with the bird. Turns out one of my instructors is one of the crew who will be flying my pt's in. Decision is made to fly both pts.
Transfer of care is made....bird lifts off.
:wacko::wacko::wacko:
"That was crazy...but I loved it," I thought to myself.
Updates on the pts. Patient number 1 (my preceptor's patient), T6, T7, T8 completely exploded. :sad::sad:
My pt. had a spleen laceration, liver laceration, and pulmonary contusion. :sad::sad: Both were on the vent and "deep in the woods".
So there ya go....my first trauma call.
-Matt
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