Quote:
Originally Posted by MiTTMedic
What is my level of license?
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What ever you currently are now. Practice within the scoop of your certification, but go ahead and think what you would do at the next level, ie. Medic level, PA, ect.
Quote:
Originally Posted by Scamilton
TQ immediately on the leg. Have my buddy perform manual c-spine stabilization as I administer 15 lpm O2 by nasal cannula. Before we get him on a spine board, establish vascular access and begin with 1L NS fluid bolus.
Splint the leg with whatever is available. I would have an articulating splint ready that I would have made, and kept available on my rig. Pad with abdominal dressings to cover the exposed skin and keep it from moving within dead space of splint. Log roll the patient, check the back for any other trauma, place onto spine board. Secure to spine board, reassess splint and LOC. Make my first movement to helo LZ and reassess all vitals en route.
I would not worry about the arms if there was no signs of gross manipulation, and radial pulses are present. The ankle is the least of my worries, because this guy would prob lose the leg below the knee, and at the least lose most functionality.
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Are you sure you'd want to establish an IV first before extracting the Pt from the area?
This guy is a definite "Load and Go" .... Chopper GO !!!!
You could get the Pt. on a board, away from the creek bed (remember you're 12-15 feet away from the road on an incline, and figure another 10 to 25 feet away from your rig) get him up the hill, load him up and have partner start driving to LZ and establish lines, meds, ect.
Helo has another 25 minute flight time to your location.
Get him into your "world".
Also not to nit pick but,
"15 lpm O2 by nasal cannula" ..... ?????
Remember what the flow rates (as well as percentage of O2 delivered) are for the various O2 delivery systems:
Nasal Cannula; NC
Simple Mask; SM
Non-rebreather; NRB
Bag valve mask; BVM
