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Dispatched to a two car traffic accident on a state highway. One vehicle crossed over and sideswiped a compact hatchback all down the left side at approximately 50mph. Side curtain airbag deployment with pillar deformity but no intrusion into passenger compartment. Rear axle no longer substantively attached to vehicle.
Arrive on scene to find your 75 year old male patient ambulating around vehicle and talking to other driver. Initially he is has no complaints though after being asked the usual litany of questions he states some "very minor" L arm pain from the airbag deployment.
At this point I am thinking about starting a refusal, in terms of history he says he has Afib and takes Pradaxa.
So now what? Physical, mental status exam entirely unremarkable, as was a 12 point cranial nerve screening. No other complaints. 130/70, HR 60 regular, 93%RA sat.
Transport? Refusal? POV transport? No ambulance needed?
My partner practices his own brand of medicine and as he is the medic, I often end up doing so as well, so I'd like to see what others would do.
Arrive on scene to find your 75 year old male patient ambulating around vehicle and talking to other driver. Initially he is has no complaints though after being asked the usual litany of questions he states some "very minor" L arm pain from the airbag deployment.
At this point I am thinking about starting a refusal, in terms of history he says he has Afib and takes Pradaxa.
So now what? Physical, mental status exam entirely unremarkable, as was a 12 point cranial nerve screening. No other complaints. 130/70, HR 60 regular, 93%RA sat.
Transport? Refusal? POV transport? No ambulance needed?
My partner practices his own brand of medicine and as he is the medic, I often end up doing so as well, so I'd like to see what others would do.