[Surgicalcric]

1.) Dislocated Tibia and Patella

2.) Stretched or possibly torn A/PCL and/or MCL/LCL; torn Miniscus with or without femoral epicondyle or tibial condyle tear; partially pinched Femoral Artery and possible femoral vein. If there is any loss of sensation below the knee there could also be Saphenous Nerve involvement.

3.) Demerol for pain, steroid as anti-inflammitory in the hospital or Toradol and kill two birds with one stone. In my bus he gets MS or NO2.

4.) Splint as is. Vacuum splint would be best in this situation. But in absence of that use a pillow under knee for support, strap ankles together with cravat, and use Scoop-stretcher to lift PT onto stretcher.