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the 100% directionless thread
- Thread starter KEVD18
- Start date
:rofl:
the_negro_puppy
Forum Asst. Chief
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Had a good trauma the other day...
40 y.o M motorcyclist collided with a car going approx 80 km/h.
On scene pt GCS14, BP 90 systolic in extreme pain.
Sadly for us (but good for the patient) we had lots of resources including our med director. Partner and I pretty much organised equipment and prepared drugs.
FAST scan performed, positive for significant bleeding around spleen. Suspected pelvic fracture , # L) ribs and pneumothorax. Lost radial pulse shortly after
Pt was given fentnyl for analgesia before he was RSI'd with 80mg ketamine and rocuronium. Tubed, with thoracotomy peformed.
Enroute he received 2 units of packed red blood cells, 1 L NS, and Tranexamic acid. Got him to hospital, HR 136 not sure of what BP was sitting at, very very grey in appearance. Bypassed ED went straight to theatre. Apparently he's still alive.:wacko:
40 y.o M motorcyclist collided with a car going approx 80 km/h.
On scene pt GCS14, BP 90 systolic in extreme pain.
Sadly for us (but good for the patient) we had lots of resources including our med director. Partner and I pretty much organised equipment and prepared drugs.
FAST scan performed, positive for significant bleeding around spleen. Suspected pelvic fracture , # L) ribs and pneumothorax. Lost radial pulse shortly after
Pt was given fentnyl for analgesia before he was RSI'd with 80mg ketamine and rocuronium. Tubed, with thoracotomy peformed.
Enroute he received 2 units of packed red blood cells, 1 L NS, and Tranexamic acid. Got him to hospital, HR 136 not sure of what BP was sitting at, very very grey in appearance. Bypassed ED went straight to theatre. Apparently he's still alive.:wacko:
NomadicMedic
I know a guy who knows a guy.
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Does the medical director routinely respond to calls of that nature? Did he (or she) bring the blood products and TXA? Is that normally stocked on the doctors car? Sounds like an excellent run...
x2, I'm curious. When I used to volly I never had the MD come on scene, even when we had some seriously nasty stuff go down (5 year old with four GSW, MVA headon at 80mph each car, or a flipped car that had been going around 120 from what the leo's told us).
Anjel
Forum Angel
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The people from down under get all the cool stuff.
Yes they do...:glare:
BandageBrigade
Forum Lieutenant
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..you've seen quite a bit for a 17 year old student..
Shishkabob
Forum Chief
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I understand you've been a nurse since the beginning of time, and when you started, EMS was really nothing more than 'ambulance drivers', but 40 years later, we have an education and we have aggressive treatment regimens. You may not agree with what Paramedics can do today, but you have no say otherwise.
EpiEMS
Forum Deputy Chief
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To add to this, was the FAST performed on scene?
lightsandsirens5
Forum Deputy Chief
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Hmmmm....used to like iOS a lot. Am kind of hooked on Android now. Remains to be seen how this one plays out.
the_negro_puppy
Forum Asst. Chief
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Yep, our boss routinely responds to calls. His car has warmers which contain blood as well as other geat. Here's a vid of him in action lol
http://www.youtube.com/watch?v=i_sDhcB7kSI
We have several MD's working for us who specialise in pre-hospital trauma. There is usually always one on duty to respond to major trauma in our capital.
Indeed the Doctors and Intensive Care Medics get good stuff but on these major calls, the stock standard medics get pushed out of the way.
Yes, once we had him loaded the FAST scan was performed on scene while he was being RSI'd
bigbaldguy
Former medic seven years 911 service in houston
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bigbaldguy
Former medic seven years 911 service in houston
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Words fail me
Oh wait I thought of some.
Holy :censored: :censored: that is bad:censored:. Dr Rashford should wear a cape!
JPINFV
Gadfly
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bigbaldguy
Former medic seven years 911 service in houston
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Who wants a contest? Don't forget to go to the lounge and subscribe to the contest thread for up to the minute info on EMTLIFE contests. Don't miss your chance to win cool EMTLIFE swag.
EpiEMS
Forum Deputy Chief
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Agreed, it's badarse (does arse get censored?), but I wonder how much of a difference it makes in survival and quality of life post-hospital.
bigbaldguy
Former medic seven years 911 service in houston
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Who cares? Lol c collars and back boards and flashy lights probably make no difference and they aren't half as bad :censored:
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DesertMedic66
Forum Troll
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Really want to get an off-road prerunner style bumper for my truck. Only issue is, it's illegal to have them per the wonderful California vehicle code :angry:
medic417
The Truth Provider
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I sure hate when a good thread gets locked. Ruins all the fun, I mean discussion.
the_negro_puppy
Forum Asst. Chief
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Well for the guy in the vid, if he was GCS3 on scene it probabl wouldnt have made much difference.
But to the trauma patient I had the other day, I can honestly say its quite likely he would have died without the interventions.
The scene time was 36 mins including FAST scan, RSI etc. If it was just my partner and I plus a few bystanders the scene time would have been similar.
We essentially brought the ED/ER to the patient and bypassed it taking patient straight to theatre. Without these interventions with the scene time plus 25 minute transport time, plus full workup required in the trauma room, I think this patient probably would have bled out and arrested either as we arrived or while being assessed in the trauma room