Re: Pt. Scenario

["Michele Moore" <mmoore@scmc.org>]

Take me to the trauma center

michele moore rrt,emt-p

>>> ajoplinger@FlightMedicMail.com 12/31/01 06:14AM >>>
Hi all.

I would appreciate any feedback that you all might have to offer on this scenario:

Pt. is a mid-thirties female, involved in MVC, unknown if restrained. Pt. is apparently the driver. Pt. vehicle hits utility pole at greater than 55mph producing significant damage to vehicle. (You later find out that the vehicle has also rolled over.) Approximately 20 minutes of extrication are required to disentangle the patient. Ambient air temperature is approx. 20 to 25 degrees F.

Pt. does not remember the crash. ETOH on board. Pt. oriented to person only. Pt. has a one inch laceration to the left temporal region and active bleeding from both nares. Pt. also c/o pain on palpation to the chest. Chest wall is intact with bilateral breath sounds clear and equal. Pt. co genralized ABD pain with increase on palpation of all quadrants. Pt. also c/o lower back pain. Pt. is slightly tachycardic with evelvated B/P. Resps and Sats WNL.

Transport times as follows:

By ground to trauma center: 30-40 minutes
By air to trauma center: 10 minutes
By ground to local community hospital: 10 minutes

Does anybody feel that this particular patient recieves any benefit from going to the community hospital by ground?

Thanks a lot and have a happy and safe new year!

Adam Oplinger NREMT-P



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