Quote:
Originally Posted by Surgicalcric
How many units of blood was given by the flight crew? Has he been typed/crossed? How much crystalloids have been given?
Start with 2 units O Neg (if not T/C yet.) If T/C complete then admin appropriate.
H&H?
ETOH?
Drugs?
Medications?
History of how this happened?
I would agree with the pneumatic TQ for hemorrhage control, instead of the use of an HCA. Obtain a good view of the wound and its extend, and any other damage to surrounding structures. Depending on the physical exam films would also be in order.
Crip
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Surgicalcric,
2 units were sent and one was transfused. They had not hung the second unit and we cannot not hang outside blood unless it comes from our in-house blood bank or is already hanging. We drew a type and cross and told them to activate our Massive Transfusion Protocol. I believe his starting H and H with us after arrival was 6/17.9 which tells you he was going even lower and had not reached his equilibrium point. I do not remember the EToH level but he was not on any home meds. The incident occurred at his construction work site about 15 minutes prior to his arriving at their ED. The only film we obtained pre-op was a quick A/P and Latral of the knee to see if there was a fracture so if ortho needed to be involved we could consult them. It took 30 seconds and I felt that was worth it, but I could have also obtained these intra-op after vascular control.
Dutch