Before this thread runs out, could you translate some things for me, Vic,
and for all those other obligate anaerobes (hospital dwellers) on the list?
1 What's a dash roll?
2 What are bracing fractures (I've never heard of this term in hospital
before)?
3 What's an MVC (sounds like a chain of stores that sells music and
videos in this part of the world, but I presume it's a variant of MVA which
is north American for RTA)?
Adrian
> > -----Original Message-----
> > From: [log in to unmask]
> > [mailto:[log in to unmask]] On Behalf Of Vic Calland
> > Sent: 30 April 2003 10:54
> > To: [log in to unmask]
> > Subject: Ideas please....
> >
> > Attended a MVC last night. Driver doing a 100mph plus put his car under
> > the end of an HGV only doing 50mph. Dragged 200-300 yards down the road
> > as the driver of the lorry regained control and came to a halt.
> >
> > Driver was late twenties, physically fit but on the heavier end of
> > normal weight range. Trapped upright until the fire crew did a dash
> > roll. Had 8cm transverse laceration of forehead with bit of skull in
> > wound but amazingly had GCS of 12-13. Had bilateral bracing fractures;
> > left elbow was a posterior dislocation, radius & ulna a comminuted
> > compound fracture as crunchy as a bag of crisps; his right was a more
> > classical Monteggia apart from the fact it was compound and the bone was
> > protruding. He also has a fractured pelvis with a dislocation of the
> > left hip.
> >
> > He had breath sounds bilaterally so we didn't realise he had a ruptured
> > left hemidiaphragm until the CXR came back. At the time he wasn't too
> > shut down, so we splinted the arms, gave him 50mg Ketamine im and free
> > flow Entonox for the extrication (long board to the rear). We were only
> > 5 minutes from the hospital so we ran with him rather than established
> > an i.v. on scene. There they ended up with a right femoral vein access
> > with a "security guard" watching it.
> >
> > I'd be interested to know if anyone has clever ideas for dealing with
> > this kind of situation because his pain relief was not ideal by any
> > means.
> >
> > Vic Calland
> >
>
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