Carl sustains a Blunt LUNG injury from a fall from height. He complains of rib pain, but no obvious fractures. Other than tachycardia, his initial vital signs are within normal parameters. Four hours into the situation, he has an obvious decrease in his pulmonary status (i.e. increasing RR, decreasing SpO2, increase work of breathing, etc.). Continue reading Case Discussion #3: Fall With Lung injury
I usually start any PFC lecture I give with a common case such as this in order to drive home the realities of the operational context; a small team operating in the middle of nowhere dealing with a critically ill patient with little to no support.
Remember the “Rules”
Just as a rehearsal of a tactical operation will prepare the operator to better deal with contingencies, discussing and talking through realistic, hypothetical, medical scenarios will give the medic a good idea to how he might respond should a similar situation arise in real life. We encourage participation in the discussion by all levels of medic, nurse and provider. Constructively thinking through worst-case illness and injuries, through multiple perspectives, will open the eyes of those on the other side of the wire, no matter which side that may be. If you Continue reading Case Discussion #1: GSW w/TQ