[shadowflyer]

(1) Windshield survey? (This is the initial scene survey prior to dismounting your vehicle.)

Windshield spidered on V1 driver side. Windshield spidered on V2 Driver and Passenger side, due to lack of restraints.

(2) What are your vehicle safety/stabilization considerations?

V1 is stable but would shore up the tires with sandbags or anything heavy. I do not want either of the vehicles moving while I am trying to extricate any PT’s. V2 is leaking fluid possibly gasoline. Get someone on the fire extinguisher and standby ready to put out any fire.

(2.5) Call for help due to large number of PT’s. I will need more medics to be able to get all of those PT’s stable and ready for transport.


(3) Probable injuries based on impact?

V1-Driver- Head injuries, C-spine injury, internal trauma due to impact with steering wheel. Poss. Lower extremity injury.

V1- Passenger- Ambulatory, C-spine injury, head injury if unrestrained, possible LOC.

V1- Gunner- Head inury, C-spine injury, internal injuries, LOC.

V2 - Driver – Head injury, internal injury due to impact with steering column, C-spine injury, lower extremity injuries due to impact with lower dashboard.

V2 – Passenger – Pelvic injury, head injury , C-spine injury, lower extremity injury due to impact with dashboard.

V2 – Gunner – Head inury, internal trauma, C-spine injury and possible T-spine injury due to ejection from V2 at high rate of speed.

(4) Spinal Immobilization considerations and treatment of the 6 patients onscene?

TX—Everyone gets a C-collar. ABC’s

V1 Driver—C-Collar, Extricate onto stretcher. Use 100mph tape and sandbags for stabilization . Assess further and TX as indicated. DCAP-BTLS

V1Passenger – Ambulatory, C-collar. Assess , possible walking wounded.

V1-Gunner- C-collar, Stabilize c-spine, extricate from gun mount. Stretcher and assess. Use tape and sandbags for c-spine stabilization. TX according to assessment. DCAP-BTLS Pri 3

V2- Driver C-Collar, Extricate onto stretcher. Use 100mph tape and sandbags for stabilization of c-spine. Assess further and TX as indicated. DCAP-BTLS

V2- Passenger - C-Collar, Extricate onto stretcher. Use 100mph tape and sandbags for stabilization . Pelvic stabilization or TX due to possible pelvic fracture. IV therapy if pelvic fracture is determined. DCAP-BTLS Pri 2

V2 – Gunner – C-collar, assess for head injury, C-spine and T-spine injury. Stabilization using tape and sandbags. DCAP-BTLS. Pri 1 transport.



(5) Transport?


All 5 stretcher PT’s will need to get to a Med Facility ASAP. Helo medevac. Walking wounded can take a ride back to the hospital.