Quote:
Originally Posted by Doc Dutch
Okay, then, this is an evisceration. That is omentum hanging out of the abdomen. Also called the "policeman of the abdomen" or the "watchdog of the abdomen". It will make its way to inflammation or an area of abnormalcy. It is a fatty apron with blood vessels.
At the site of the stab wound the omentum is hanging out of the thoracoabdominal laceration!
Sdiver said,
"O2 15L via NRB
Bandage wound with sterile moist dressing, with possible occlusive dressing over it.
Start a large bore IV 14 or 16 g angio, with a fluid bolus.
Monitor vitals.
Transport Code 3 to a Level I trauma center and hand off . . . "
That is a good start. If you use an occlusive dressing make it only three sides as this is a thoracoabdominal wound and the lung may be involved and could cause a tension pneuothorax."
Like the IV's, the fluid bolus, sterile dressing, and get the patient to the trauma center.
Now what . . . ?
D-
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Go to the EMS lounge and finish my paperwork. I've made my hand off.
I'd be interested to see where it goes next.
One thing I forgot to put was, attempt to find out the size and type of blade used (serrated v non-serrated), and include that in my hand off report.