Weather Conditions: Snowing w/ limited visibility(you can barely see 10ft in front of the vehicle). Dark out. Road covered in fresh snow/sleet/ice(you drive about 5 to 10mph for fear of sliding off the roadway suddenly).
Scenario: You're dispatched to a 10-50 PI - SUV vs. 18-Wheeler. You arrive at the scene - a two lane road with trees on either side - and you see that the SUV is sitting in the middle of the right lane while the 18-Wheeler is sideways taking up the majority of both lanes.
The 18-Wheeler driver is complaining of no pain and signs a refusal.
The SUV driver(40 Y/O W F) is still seated in the drivers seat of the vehicle. You have her boarded and collared and placed in the back of the ambo to get her out of the weather ASAP. She tells you that she did lose consciousness and that she does not remember the accident. She is presently complaining of arm and neck pain. The pain in her arm does radiate up to her neck and jaw. When asked, it is a 7 on the 10 scale. She is also complaining of a crushing chest pain, which is a 7 on the 10 scale as well.
Hx - Hypoglycemic Attacks (No B/S - Glucometer not functioning properly)
Mx - None
Ax - Betadine and Cifataxin
Neurological check finds she has definate right sided weakness along with pupil constriction in both eyes with no reactivity.
Vitals:
2223 - BP:128/72 P:88 R:18
2230 - BP:114/64 P:90 R:18
2235 - BP:130/84 P:94 R:20
2241 - BP:122/80 P:94 R:18
The vehicle the patient was in was travelling below 25mph and had minor damage(no intrusion) to the right rear quarter panel. The airbags did not deploy. The patient was belted with no obvious injuries from the belt.
No IV established and no paramedic call-ins.
Any thoughts?
Scenario: You're dispatched to a 10-50 PI - SUV vs. 18-Wheeler. You arrive at the scene - a two lane road with trees on either side - and you see that the SUV is sitting in the middle of the right lane while the 18-Wheeler is sideways taking up the majority of both lanes.
The 18-Wheeler driver is complaining of no pain and signs a refusal.
The SUV driver(40 Y/O W F) is still seated in the drivers seat of the vehicle. You have her boarded and collared and placed in the back of the ambo to get her out of the weather ASAP. She tells you that she did lose consciousness and that she does not remember the accident. She is presently complaining of arm and neck pain. The pain in her arm does radiate up to her neck and jaw. When asked, it is a 7 on the 10 scale. She is also complaining of a crushing chest pain, which is a 7 on the 10 scale as well.
Hx - Hypoglycemic Attacks (No B/S - Glucometer not functioning properly)
Mx - None
Ax - Betadine and Cifataxin
Neurological check finds she has definate right sided weakness along with pupil constriction in both eyes with no reactivity.
Vitals:
2223 - BP:128/72 P:88 R:18
2230 - BP:114/64 P:90 R:18
2235 - BP:130/84 P:94 R:20
2241 - BP:122/80 P:94 R:18
The vehicle the patient was in was travelling below 25mph and had minor damage(no intrusion) to the right rear quarter panel. The airbags did not deploy. The patient was belted with no obvious injuries from the belt.
No IV established and no paramedic call-ins.
Any thoughts?