First MVA scenario

[Surgicalcric]

During a convoy escort two HMMWV’s at the front of the line are involved in a high-speed rear-end type MVA due to the lead vehicle stopping and the driver of the second vehicle not being attentive.

You, being the only medic, arrive on scene, from the rear of the column after being called up, to find:

The lead vehicle is sitting sideways in the roadway aproximately 30' from point of impact. No skid marks for second vehicle are noted. The lead HMMWV sustained major rear-end damage. The turret gunner is slumped over the M19. The unrestrained driver is sitting up right with his door open and holding his neck, and the front seat passenger is ambulating around the vehicle.

The second vehicle is off the roadside. It has sustained massive drivers side front-end damage and has fluid leaking from whats left of the engine compartment. The driver, unrestrained, is slumped over the steering wheel. The front seat passenger, unrestrained, is slouched down in his seat holding his right hip. And the turret gunner has been thrown clear of the vehicle and is lying prone on the roadway near the rear of the lead vehicle.

A perimeter is being established to provide security to the convoy.

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

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

(3) Probable injuries based on impact?

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

(5) Transport?

You have Aid bag, collars, collapsible stretchers (5), sandbags(floorboard armor), 100mph tape.

GO.

**This first one is to get you guys thinking in a different frame of mind. I am not looking for indepth treatment, but more things to be considered. Good luck, more to come.**