Melclin
Forum Deputy Chief
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You respond at 02:30am on the eve of the non-denominational annual winter festival of celebration and general contentment, to a 21 year old bloke with back pain.
O/A: at a camp site on a warm night (its summer here remember), you find a young bloke lying on the ground in a sleeping bag surrounded by concerned looking attractive blonds wearing not much.
His name is Jack and he tells you with a bit of a slur that he was drinking the evening away (about 9 beers in all) when he suddenly felt a nasty pain in his back and felt unable to move properly without causing further pain (nil trauma). He waddled back to his sleeping bag to lay down where he was found an hour later by one of the beauties who called an ambulance to "cover herself" (evidently the irony of saying that while dressed in the smaller half of a handkerchief was lost on her, as was my giggling).
O/E: BP 115/70, Pulse 98, RR 20, GCS 15, Temp 36.8
6/10 pain, central lumbar region, with pain shooting down both legs when he tries to move too much.
Both legs have normal colour, movement, temperature, sensation and distal pulses.
Nils meds or allergies.
Has a hx of two episodes of back pain like this, seen in hospital once. Does not recall them telling him what it was but says they did a lot of tests, none of the medications they gave him helped and it went away after a few hours of rest (a day of bed rest on the first occasion).
You have the basics, further info on request. Shoot.
All are welcome, even if its just, "protocol tells me...", oddly enough I'm actually quite interested in what the EMT-Bs among you are supposed to do with this case. ALS/BLS upgrade/downgrade, trauma centre/local/GP/home and all that.
O/A: at a camp site on a warm night (its summer here remember), you find a young bloke lying on the ground in a sleeping bag surrounded by concerned looking attractive blonds wearing not much.
His name is Jack and he tells you with a bit of a slur that he was drinking the evening away (about 9 beers in all) when he suddenly felt a nasty pain in his back and felt unable to move properly without causing further pain (nil trauma). He waddled back to his sleeping bag to lay down where he was found an hour later by one of the beauties who called an ambulance to "cover herself" (evidently the irony of saying that while dressed in the smaller half of a handkerchief was lost on her, as was my giggling).
O/E: BP 115/70, Pulse 98, RR 20, GCS 15, Temp 36.8
6/10 pain, central lumbar region, with pain shooting down both legs when he tries to move too much.
Both legs have normal colour, movement, temperature, sensation and distal pulses.
Nils meds or allergies.
Has a hx of two episodes of back pain like this, seen in hospital once. Does not recall them telling him what it was but says they did a lot of tests, none of the medications they gave him helped and it went away after a few hours of rest (a day of bed rest on the first occasion).
You have the basics, further info on request. Shoot.
All are welcome, even if its just, "protocol tells me...", oddly enough I'm actually quite interested in what the EMT-Bs among you are supposed to do with this case. ALS/BLS upgrade/downgrade, trauma centre/local/GP/home and all that.
"
If this turns out to be the case, my hat's off to him!