The PLS of BLS.
Called out to a car accident 15 yof PT with gash in head. We got there pupils sluggish, drainage out left ear. 1st BP 90/77 2nd 101/80 kept trending and getting better. various scrapes, PT kept alert and talking although not orientated. Called ALS. We had 4X4s on the gash, checked it, this wasnt a skinflap laceration. Head split open like a melon, no skull showing. PT stated pain in head 10/10. She was shockey, kept her warm and trending her vitals, everything hanging good. Paramedics got in. I rode in their ambulance, got to ER nurses asks Paramedic should they call the flight? He says no, its just a laceration with a skin flap. My partner who was with him in our rig, said he didnt even look at the gash on her head. We gave the nurses and Doc our reports of PT status and what happend. Got an update later about our PT, life flighted her because of a skull fracture.