A 25 years old guy - Matt, involved in a road traffic accident at about 10 am. He was driving alone. It happened that he collided with another car, but the other guy he got into the acccident was all fine. But not for Matt... on arrival of the paramedic at 10:20 am, on assessment, he was alert, respond to verbal stimuli but complain pain on the abdomen, head, neck area and right arm. There was a big laceration on the parietal area with profuse bleeding noted.
Blood pressure 90/50. Pulse 110, Respiration is 14/min Spo2 is 89% GCS scores was 10 by 15. .......
Hard cervical collar was applied with use of hard board with body strapping as for immobilization of the body. Full blast Oxygen given via mask delivered. Thick application of bandage was applied onto Matt's head as to stop bleeding. Initial IV access was started by administering Haemacele of 1000mls. Question asked to Matt and denies any previous medical or surgical history. So, he was very fine guy before the accident.
Arrived o AED about 10:30am....wat would be the next interventions??.....ABCD people....we are now in the secondary survey!!!
4 comments:
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A- Assess for airway patency, suction if necessary, use cervical collar
B-Note nasal flaring, use of accessory muscle, respiratory rate, depth, rhythm, note position of trachea, give oxygen
C- Note blood pressure, pulse,Oxygen saturation, capillary refill, skill colour
D- Assess if the person is oriented
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