Scenario time! Break it down for us. #TEM Motor vehicle crash, car VS tree. Steering wheel collapsed, steering column displaced, no air bag, windshield starred. Simple extrication takes less than ten minutes. One occupant, unrestrained 52 y/o male driver currently AOX4, GCS 15. No history, no meds,no allergies. Obvious open fractures to femur, Tib/Fib in the same leg, minimal bleeding. Vitals; Pulse 56, B/P 88/34, Resp 14 SPO2, 94. You have whatever you need BUT, its going to take thirty five minutes by ground to a trauma center due to weather, you do have voice comms with them but cannot send telemetry. For ALS providers his EKG is a third degree heart block. You also have Versed, Fentanyl, Morphine, Ativan in the narc safe. Medcontrol orders NO meds.
Posted on: Thu, 17 Jul 2014 15:01:51 +0000
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