Name four potential safety considerations specific to the scene of an MVC
Acceptable answers:
Fluids, fire, car running, safety vests, wires,
Control bleeding
15 LPM O2 NRB
Supine
Warm aggressively
Transport
Name five things with which to evaluate a car involved in an MVC.
Acceptable answers:
Windshield spidering, airbags, intrusion, steering wheel damage, location of damage, type of vehicle
What is the functional definition of an MCI.
When the #of patients exceeds the # of available resources.
Which NBA player has the most points of all time
You take a BP on your MVC patient and shockingly find it to be 78/46. You find the HR to be 120 and SpO2 to be 85%.
You appropriately add a medic.
What will the medic likely do when they get there?
Administer saline via IV to increase the pt's BP.
What spinal precautions would you take for this MVC patient?
Neck pain
No back pain
A&Ox3
Yes backboard for acute neurological symptoms due to trauma
You arrive on scene to an MVC to find a police car parked behind the accident according to this diagram:
Where do you park ambulance?
Blocking the lane of traffic. Accident is still exposed
What is stocked on Pegasus that is not stocked on our ambulances?
Blood
What is the clearance for the bridge on the corner near Boylan
10' 0"
Does this patient meet trauma alert criteria:
MVC patient
Hit head on steering wheel, big bump
No neuro deficits, no AMS
Two dislocated fingers
No
Talk through an adequate rapid trauma assessment on Simon
MUST INCLUDE:
Head-to-toe exam exam including palpating skull, chest wall, extremities, abdomen, hip stability, PMS in hands and feet
Give a windshield report for this scenario:
Something like:
"RS14X on scene of a 1 car collision into a telephone pole. T pole on car, wires down. Requesting tower for wire management. RS14X will continue to monitor from a distance."
If an MVC patient in an MCI cannot breathe after a head tilt chin lift, what classification are they?
Priority black
What was the name of the fourth Star Wars movie released in chronological order?
The Phantom Menace
Which trauma alert is this MVC patient?
Severe maxillofacial trauma
Copious bleeding in airway
GCS 14
SBP 88
Alpha Alert:
Intra-oral bleeding requiring suctioning
What trauma alert does this MVC pt meet?
GCS 13
HR 120
SBP 108
Car metal through abdomen
Beta
GCS (10-13)
HR>SBP
Penetrating trauma to abdomen
You have a rapidly decompensating patient in the back of your ambulance.
You collide with Rescue 503 that also has a rapidly decompensating patient.
Both ambulances sustain minimal damage.
What is the proper course of action?
Assess everyone involved.
Alert ECC as to what happened and your transport decision.
Keep going to hospital.
Approx. how big must the LZ be for pegasus to land?
100x100 feet
Which premier league team has won the most titles
Your MVC patient that hit their head states they take the following medications:
Zoloft, Acetaminophen, Atorvastatin, Ibuprofen, Metformin, Gabapentin, Amlodipine, Albuterol, Omeprazole
Are they on blood thinners?
No. None of these medications are blood thinners:
BT's include:
Warfarin, Clopidrogel, Apixaban, Dabigatran, Rivaroxaban, Aspirin
Your patient hit their lower chest on the steering wheel after crashing at 45 MPH.
Upon inspecting their chest you find this:
1. What condition does this finding likely indicate?
2. What is an important assessment to follow this finding?
1. This paradoxical movement is indicative of flail chest.
2. It would be a good idea to listen to lung sounds to assess for the possibility of a pneumothorax
Name both cases in which it would be ok to oppose traffic to reach incident
1. Police/fire blocking traffic and tell you its ok.
2. Accident is completely blocking all lanes of traffic and there is no way for through traffic to get through.
Using START Triage, what priority is this MVC pt in an MCI?
Unconscious
No radial pulse
RR>30, Unable to follow commands
Immediate (red)
Who painted this?
Raphael