8jimi8
CFRN
- 1,792
- 9
- 38
called to scene of 1 vehicle vs tree.
Initial impression: no skid marks, moderate frontal damage, no air bag, steering wheel intact, 1 patient, driver restrained - flaccid in drivers seat, driver door won't open due to impact, no entrapment of patient beyond the damaged door. Fire and LE on scene.
initial assessment:
no witnesses
Your partner takes c-spine
driver moans weakly to loud verbal stimuli, does not open eyes.
breathing is shallow and rapid 38/min breathe sounds are wet rales in all fields
circulation is weak and thready at 133 b/min
nrb 15l/min
high priority - rapid transport patient
medic alert bracelet: Cardiac history, allergy to HCTZ.
no sample or opqrst available
rapid trauma assessment reveals pms + (withdraws to painful) in all extremeties, eyes perrl, no signs of basilar skull fracture, no signs of dcapbtls or any obvious trauma (rapid trauma assessment is essentially negative except for a minor oozing laceration to the left cheek)
baseline vitals 90/50, hr 155, breathing 35 o2 sat 80
extricate with a KED and long backboard.
once the patient is loaded in the ambulance 2 large bore IVs
place the patient on the monitor reveals ...
multifocal pvcs and runs of paroxysmal vtach 8, 10 , 12
Oxygen saturation reads 75, patient is breathing 28 /min
what do you do.
call out your interventions once the ambulance starts moving. 15-20 minutes until the hospital. you can have 1 MFR/firefighter in the patient compartment with you.
Initial impression: no skid marks, moderate frontal damage, no air bag, steering wheel intact, 1 patient, driver restrained - flaccid in drivers seat, driver door won't open due to impact, no entrapment of patient beyond the damaged door. Fire and LE on scene.
initial assessment:
no witnesses
Your partner takes c-spine
driver moans weakly to loud verbal stimuli, does not open eyes.
breathing is shallow and rapid 38/min breathe sounds are wet rales in all fields
circulation is weak and thready at 133 b/min
nrb 15l/min
high priority - rapid transport patient
medic alert bracelet: Cardiac history, allergy to HCTZ.
no sample or opqrst available
rapid trauma assessment reveals pms + (withdraws to painful) in all extremeties, eyes perrl, no signs of basilar skull fracture, no signs of dcapbtls or any obvious trauma (rapid trauma assessment is essentially negative except for a minor oozing laceration to the left cheek)
baseline vitals 90/50, hr 155, breathing 35 o2 sat 80
extricate with a KED and long backboard.
once the patient is loaded in the ambulance 2 large bore IVs
place the patient on the monitor reveals ...
multifocal pvcs and runs of paroxysmal vtach 8, 10 , 12
Oxygen saturation reads 75, patient is breathing 28 /min
what do you do.
call out your interventions once the ambulance starts moving. 15-20 minutes until the hospital. you can have 1 MFR/firefighter in the patient compartment with you.