how would you handle this situation? more specifically patient 3.
My partner and I attended a job at 2am to a Marine Rescue vessel what had overturned (rough weather, the rescue boat hit something on the way out to assist another vessel, ripped the hull open and injured the 3 crew)
Advised there were 3 people on board, one with suspected spinal and the other two only minor injuries. marine rescue transported us out on their other vessel.
patient 1: 42yo male with broken arm, possible broken ribs
patient 2: 35yo male with a large gash to right thigh. already had pads on it to stem bleeding when we arrived.
patient 3: 20yo female, had been thrown in crash and was wedged between metal seat frames. as we arrived we are informed that she had anxiety and panic attacks. After spending a few minutes calming her down my partner was able to get her to talk to him whilst I attended to the other two patients. On assessment we determined a slightly altered mental state (with the help of one of the people she worked with), a fractured hip, and were 95% sure she had fracture in the small of her back. Ended up as a full spinal even though patient resisted. She was shaking most of the time and it was hard to get her to engage in any conversation.
As I was a 40 min boat ride back in rough weather, her pain was only just manageable- we made the call to sedate her which was a very difficult process.
My question is how would you go about managing a full spinal patient who was so terrified to the point of resisting anyone touch them? Any advise for next time? How do you get them to trust you enough to get a collar on and get them on the board and strapped down?
My partner and I attended a job at 2am to a Marine Rescue vessel what had overturned (rough weather, the rescue boat hit something on the way out to assist another vessel, ripped the hull open and injured the 3 crew)
Advised there were 3 people on board, one with suspected spinal and the other two only minor injuries. marine rescue transported us out on their other vessel.
patient 1: 42yo male with broken arm, possible broken ribs
patient 2: 35yo male with a large gash to right thigh. already had pads on it to stem bleeding when we arrived.
patient 3: 20yo female, had been thrown in crash and was wedged between metal seat frames. as we arrived we are informed that she had anxiety and panic attacks. After spending a few minutes calming her down my partner was able to get her to talk to him whilst I attended to the other two patients. On assessment we determined a slightly altered mental state (with the help of one of the people she worked with), a fractured hip, and were 95% sure she had fracture in the small of her back. Ended up as a full spinal even though patient resisted. She was shaking most of the time and it was hard to get her to engage in any conversation.
As I was a 40 min boat ride back in rough weather, her pain was only just manageable- we made the call to sedate her which was a very difficult process.
My question is how would you go about managing a full spinal patient who was so terrified to the point of resisting anyone touch them? Any advise for next time? How do you get them to trust you enough to get a collar on and get them on the board and strapped down?
