LACoGurneyjockey
Forum Asst. Chief
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You are dispatched to a fall, and arrive to find a 67 year old male sitting in a chair in the back bedroom. He is conscious, alert, and oriented, with a large laceration to the right forehead, a large abrasion to the right arm, and you note a strong smell of alcohol at 0900. He states he fell approximately 10 feet from the roof while trying to repair an air conditioning unit in 95 degree heat and landed on his right side on hard packed dirt. Unsure if he lost consciousness, and the fall was unwitnessed. Family heard him shouting, came out to find him on the ground and brought him inside.
He is complaining of pain to his: head, neck, back, entire right side, and chest. BP is 146/80, pulse of 90, RR is 28 with an spo2 of 94% on room air. Pupils are PERRL, lungs are clear and equal bilaterally, skin is warm pale and moist. When you try to place this patient on a backboard he complains of acute exacerbation of his chest pain and sudden onset difficulty breathing. You place the patient in a position of comfort semi-fowlers with a C-collar which relieves his SOB and reduces the chest pain. He has a history of a cardiac stent, high cholesterol, HTN, and an MI about a month ago. He takes metorpolol, simvastatin, and NTG, and has no known drug allergies.
Now at this point, you have a local community hospital 10 minutes away capable of CT, basic ortho, but no specialties and no trauma capabilities. Your nearest trauma center is 70 minutes away code 3, and you can have an airship on the ground in just under 30 minutes.
Anything else you'd want to do? Is this patient going local or to the trauma center 80 miles out. Anything else you'd want to do? Any further details you need?
He is complaining of pain to his: head, neck, back, entire right side, and chest. BP is 146/80, pulse of 90, RR is 28 with an spo2 of 94% on room air. Pupils are PERRL, lungs are clear and equal bilaterally, skin is warm pale and moist. When you try to place this patient on a backboard he complains of acute exacerbation of his chest pain and sudden onset difficulty breathing. You place the patient in a position of comfort semi-fowlers with a C-collar which relieves his SOB and reduces the chest pain. He has a history of a cardiac stent, high cholesterol, HTN, and an MI about a month ago. He takes metorpolol, simvastatin, and NTG, and has no known drug allergies.
Now at this point, you have a local community hospital 10 minutes away capable of CT, basic ortho, but no specialties and no trauma capabilities. Your nearest trauma center is 70 minutes away code 3, and you can have an airship on the ground in just under 30 minutes.
Anything else you'd want to do? Is this patient going local or to the trauma center 80 miles out. Anything else you'd want to do? Any further details you need?
