Transportation
Health
Accidents
Fractures
Traffic Accident
Multiple Injuries
Head Trauma
Unconsciousness
Case a MVA Multiple injuries 4 pt -3critical,1 stable. A frontal to side impact by two sedan vehicles.O/E the side impact car drive was stock by his two leg under the door and the car decor has a GCS of 8 then 6 unconscious complaining of TBI ear discharge pupil unequal airway..
Airway was patent. RR was 10~~12 using accessory muscles chest Unknown no stethoS to confirm it and was equally small rise chest and abdomen breathing no tracheal deviation, abdomen raged no redness, no hip fracture all legs was compressed and shattered, LT radial ulnar closed...
Fractures. The two rare passengers was one mooning and screaming and crying the other was semi to unconscious, we extricated the unconscious he has a GCS6 no ear discharge airway patent no tracheal D chest by hand look equal π
RR 10 and below abdomen breathing raged, hip intake
Pt has duplet closed femur and open tib fip fractures bleeding was controlled by pressure trauma bandage two splint were done to foot and tip fip and one on femur, our intervention/ 15L of o2 via NRR two 18g with a 1000cc NS pt immobilized on board and c-coler v/s unstable PR121
Spo2 92-95% bP143/103 pt transported to M5 immediately. The other passenger were transported to m5 also and had arrested according to the B:4 medic for one min then came rosc. The stable pt was the frontal impact complaining of finger contusion ππ
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