Re: MOI photos

["RONALD JOHNSON" <rjohnson_fn@msn.com>]

My experience as a medic and as a nurse over the years with pictures is ive 
gotten the yeah what ever when trying to show pictures or when someone is 
trying to show pictures were to busy with the critical patients to take the 
time to look.
RJ


>From: Nick Nudell <paramednick@comcast.net>
>Reply-To: flightmed@flightweb.com
>To: flightmed@flightweb.com
>Subject: Re: MOI photos
>Date: Mon, 02 Jun 2003 04:54:06 -0700
>
>We recently received a patient with a compound femur fx and partially
>(mostly) amputated arm both with major avulsions. There was some distal
>circulation to both extremeties. The patient arrived with needle
>decompression to the right chest as well. The patient was A&Ox4 and
>immediately was asking 'if he was going to be alright' as if he had a 
>little
>cut. He was extremely lucky to have made it to the trauma room, let alone 
>to
>be without any major pain. No other significant trauma. The patient was
>essentially stable on arrival.
>
>The mechanism was a high speed rollover partial ejection.
>
>With the patient came a couple scene Polaroid's. How did the treatment
>change with the pictures? It didn't.
>
>In fact, it was unclear if the patient even had a pneumo on presentation to
>the ED, requiring the radiologists opinion. I did not see one myself 
>either.
>
>The other patients who presented from MVCs (several) and the GSWs ( several
>again) also did not or would not have had any different treatment from
>photos.
>
>I think the photos are great for scrapbooking and 'coolest scene'
>discussions but have not seen a difference in treatment because of them
>being/not being available. I am interested though to hear of anyone's
>experiences that would indicate a patient care benefit from the photos.
>
>Fly Safe.
>Nick
>
>
>____________________________________________
>Nick Nudell, NREMT-P, CCEMT-P
>California
>nudell@prehospitalperspective.net
>
>"Perception is reality" - Wise Old Paramedic
>
>
>
>
>
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