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DX--Possible Pelvic fracture and RT Tib/Fib fracture as well as RT ankle fracture.
TX--BSI/Scene Safe/
--Primary Survey--BP, what is it? Pupils PERRL? Resp?
--Maintain C-Spine precautions.
--Fully Immobilize on back board if possible.Full Meal Deal.
--DCAP-BTLS
--Check for Pelvic stability and also check for distal pulses on lower extremities.
--Stabilize any obvious fractures. Maintain distal pulse check throughout.
--If pelvis unstable wrap and compress as best you can to help stop internal bleeding. From what I have read you can bleed out very quickly from hip fracture.
--Manage shock with appropriate IV fluid therapy.
--Call for EVAC.
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" they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint."
Last edited by shadowflyer; 02-03-2004 at 14:18.
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