RE: Pt. Scenario

["Breese, Robert P" <Bob.Breese@usa.xerox.com>]

Adam,
You will keep getting your and Bill's blood pressure up thinking about this
one.  It is a no brainer. The patient should have been flown to the trauma
center. She fits trauma center criteria. 
Bob Breese

-----Original Message-----
From: Adam Oplinger [mailto:ajoplinger@FlightMedicMail.com]
Sent: Monday, December 31, 2001 9:15 AM
To: flightmed@flightweb.com
Subject: Pt. Scenario


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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