Thread: Blast Injuries
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Old 04-28-2004, 16:42   #22
Surgicalcric
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Join Date: Jan 2004
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Quote:
Originally posted by Max Power
...3 guys were extremely close to the IED, first in line was KIA, punctured IBA and chest, severe burns, second had mild burns and a compound fracture of the foot, third had a cut on his inner thigh. Two other guys had small shrapnel embedded in the rear and tricep, didn't even notice till we got back....

I am going with second man.

S 26 y/o walking patrol when IED detonated. C/O pain to R foot and to face/neck/hands.

O Pt found lying on ground. ABC +, A&O, PEARL, Partial thickness burns to areas exposed(face, neck, hands). LS-clear/equal w/ good rise and fall. Airway clear of extension burns. Obvious deformity and Fx to R foot no gross hemorrhage noted. No other S/S of trauma noted.

A Open Fx R foot and partial thickness burns ~10% BSA.

P Bandage and splint R foot with wire ladder splint and elastic bandage. Moist, sterile dressings on burns. IV saline lock R AC 18ga. Phentenyl LP for pain. Transport to FSH for eval and further Tx.

Did you want one for every PT?
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