LAS46
Forum Crew Member
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Dispatch: 36 year old male who fell from a tree stand.
You are on a BLS only ambulance today.
Arrive to find: Scene is safe. Man fell to ground and landed on wood. He is responsive to verbal stimuli. Arrival at the scene will be facilitated by the use of ATVs and additional help. Was hunting with Cheney.
Assessment reveals:
• Airway -Patent Airway
• Breathing-rapid and shallow @ 20 breaths per minutes
• Pulse - 64 and regular
• Blood pressure-160/90
• Pupils -dilated and equal
• Lung sounds –present and clear bilaterally
• Skin pale-pale, cool, clammy
• History
• S-head hurts, disoriented
• A-medic alert indicates penicillin
• M-na
• P-na
• L-na
• E-tree stand broke
• O-time of call-to unknown
• P-na
• Q-na
• R-na
• S-na
• T-na
HEENT: wound on head, pale skin, mister to provide moist skin
Further exam does reveal a possible spinal injury due to no sensation in lower extremities. Pulses in lower extremities are normal. No other injuries are found.
*Note* Ground ALS transport is available. Nearest Level 1 Hospital is 50 miles away. FAA has grounded all choppers due to weather conditions.
What treatment do you need to provide and why? And would you opt for a ALS intercept?
You are on a BLS only ambulance today.
Arrive to find: Scene is safe. Man fell to ground and landed on wood. He is responsive to verbal stimuli. Arrival at the scene will be facilitated by the use of ATVs and additional help. Was hunting with Cheney.
Assessment reveals:
• Airway -Patent Airway
• Breathing-rapid and shallow @ 20 breaths per minutes
• Pulse - 64 and regular
• Blood pressure-160/90
• Pupils -dilated and equal
• Lung sounds –present and clear bilaterally
• Skin pale-pale, cool, clammy
• History
• S-head hurts, disoriented
• A-medic alert indicates penicillin
• M-na
• P-na
• L-na
• E-tree stand broke
• O-time of call-to unknown
• P-na
• Q-na
• R-na
• S-na
• T-na
HEENT: wound on head, pale skin, mister to provide moist skin
Further exam does reveal a possible spinal injury due to no sensation in lower extremities. Pulses in lower extremities are normal. No other injuries are found.
*Note* Ground ALS transport is available. Nearest Level 1 Hospital is 50 miles away. FAA has grounded all choppers due to weather conditions.
What treatment do you need to provide and why? And would you opt for a ALS intercept?