You respond to a head on collision MVC. Your patient is a 19yoF. The windshield is spidered with no airbag deployment. You note bruising behind the ears and the patient’s limbs are flexed towards her core. Pulse is weak and regular at 50bpm, RR shallow and wildly irregular, BP 190/50, Pupils unequal R3 L6, LOC is unresponsive to all, skin is pale, cool and wet. Lungs are clear. What’s going on and what would you do?
Scenario: MVC head-on collision
Posted by admin on Mar 15, 2011 in Question of the Day | 4 comments
Patient hit their head on windshield.. Basal skull fracture with bruising behind ears. Decorbate with flexion toward core indicating spinal damage & possible paralysis. patient in neurogenic shock. Take C spine. 02 via nonrebreather at 15 liters 02; place on monitor, start two large bore Iv’s ; intubate. hang fluids. board with immediate rapid transport via air ambulance.