Smash
Forum Asst. Chief
- 997
- 3
- 18
Ok, so tell me how and why you would manage this patient.
22 y/o male, no previous medical problems, no medications, no allergies.
Unrestrained rear seat passenger of car versus stationary truck on freeway, estimate speed 50mph+ Extricated by witnesses, lying on the road on your arrival.
Groaning and extends to pain, no eye opening. Airway: Trismus present, airway sounds soiled, blood and vomit from nose. Breathing: Laboured, tachypneic, equal chest wall movement, air entry to bases. SpO2 87% on NRB. Strong radial pulses, HR 90, sinus rhythm, BP 150/100.
Blood and CSF coming from R) ear, bilateral periorbital ecchymosis, some minor abrasions and haematomas to head and neck, no other significant injuries found.
You are 40 minutes transport time to nearest hospital (which luckily is the local trauma center) and there is no HEMS available.
What do you do, and why?
22 y/o male, no previous medical problems, no medications, no allergies.
Unrestrained rear seat passenger of car versus stationary truck on freeway, estimate speed 50mph+ Extricated by witnesses, lying on the road on your arrival.
Groaning and extends to pain, no eye opening. Airway: Trismus present, airway sounds soiled, blood and vomit from nose. Breathing: Laboured, tachypneic, equal chest wall movement, air entry to bases. SpO2 87% on NRB. Strong radial pulses, HR 90, sinus rhythm, BP 150/100.
Blood and CSF coming from R) ear, bilateral periorbital ecchymosis, some minor abrasions and haematomas to head and neck, no other significant injuries found.
You are 40 minutes transport time to nearest hospital (which luckily is the local trauma center) and there is no HEMS available.
What do you do, and why?