We are dispatched to a 19 year old male that fell while running and has pain. We arrive to find the 19 year old male laying on the street on his belly. Patient reports 9 out of 10 pain in his right front pelvic area. He denies any LOC. He states he was running and tripped and that he could hear a snap from his hip area. He originally denied any back pain, but upon palpation he stated that he had some tenderness in his lower back. The patient then started to complain of a sudden onset headache, but says that he suffers from migraines. What would you do?
Here is what we did:
First we applied manual c-spine immobilization and a no-neck c-collar. Then we cut away his pants from his hip area, this revealed no deformities but was painful on palpation. We then inverted a KED board and applied it to his pelvic area for immobilization. After that we log rolled him on to a long board.
Once we had him in the back of the truck we started an IV with a 20 gauge and gave 0.9 saline on a slow drip. we Checked the patients vital signs 3 times while enroute to the hospital, all vitals were in normal limits. We then turned over care to the ER staff. Would you do anything different?... JS
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6 comments:
Why not a scoop stretcher? Just curious as I'm still learning..... I get the feeling you either love or hate the thing.
Two reasons we didn't use the scoop, first because of the back pain and headache we had to put the pt on a long board. Second, we don't have a scoop on our truck.
Maybe a large bore catheter and wide open fluids? Just armchair quaterback-ing, but if the thought is potential hip fracture, you can lose a shit-load of blood into your pelvis before it becomes clinically relevent and by then you're WAAAAAY behind on fluids. And if no fracture...(as was probably the case) meh, he's a 19 year old runner, he can take the fluids. whaddaya think?
Nothing wrong with fluids, but we would have looked like total idiots rushing into the Er with two large bore ivs running wide open. But that maybe a little over kill, and our transport was less than 15 min. Js
Solid point. The value of style points in healthcare cannot be underestimated.
I think they might have called us trauma troopers, not a good reputation to have, besides the pt lived! Js
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