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For the health professionals on YWN – how do you treat a patient from a 1 car accident? An example of a 1 car accident you’ll find in the news section here.
I sugges you post again and rephrase your question. I don’t understand it. Just a suggestion.
I first take the patient out of the car. Then assess whether there are any injuries. If there are none, I quickly advise them that I will pretend there are injured for a cut of the proceeds. When they syay yes, I quickly hit them over the head so they won’t have to pretend.
and
(or perhaps he’s joking)
Sedate him.
DY: This is no joking matter. The coffee room is a place for serious discussion.
Call 911 or Hatzalah.
Not even a shilah.
im still trying to figure out his question. why would it be any different than any other trauma scene?
I first put on gloves, then check if the scene is safe. I assume the victim has a spinal injury, so I will take spinal precautions. I will assess the patients ABCs and bleeding, and treat anything really urgent. I will perform a rapid extraction,one minute head to toe evaluation, provide oxygen if I did not do so by A and transport. During transport I will do further assessment and treat anything I see.
You are all idiots.
If the patient is in a safe place, sure you take spinal precautions. But if patient is in a car from a car crash that could blow up, you yank them out of the car fast.
Also, you don’t “assume” spinal injury. Why assume? You can just injure their spine if you need it.
what do you recommend we yank?
DRSABCD
Of course by talking to him. We’re two professionals. We speak the shprach.
PBA is assuming that all cars are either on fire or about to blow up.
Who says popa’s not a professional?
-“Leave them in there until a professional takes them out.”
Sometimes r”l there may not be much left for them. One must use common sense..
Very often these things burst into flames r”l.. and every second counts… One is sitting directly above a can of gasoline, unless it’s horse driven, and a collision r”l is a common cause for eruption.
Perhaps Health is automotive engineering professional and he is relating his career vehicular experience on the combustive qualities of automobiles.
I thought it was Popa that was on fire!
There’s a reason nobody carries a fire extinguisher in their car.
If you put it in the trunk, you won’t be able to get it. If you put it in the cabin, it could become a dangerous missile in a crash.
Isn’t it strange that Health is disturbed by Popa’s taking the patient out of the car but not by the part where he hits them on the head and injures their spine?
No different than a pt from a multi car accident.
If you are referring to EMS (usually the ones treating pts at car accidents), after making sure they are safe, ABCs and transport to an appropriate facility.
You were referring to the accident on the front page. Being as there was severe bleeding, there’s no time for a KED.
There is no difference in treating a pt that was involved in a one car accident vs a multi car accident, unless it becomes an MCI which means that the pts get triage’d and treated according to their injuries.
If you truly want an answer you must give a more detailed scenario.
To answer your original question.
By maintaining and securing ABCs. Taking spinal precautions loading the pt and transporting to a trauma center.
Large bore iV in route. Other treatments would be splinting, needle d, as needed.
In hospital, based on the MOI and injuries a level 2 or 1 trauma will be called with sub specialties called as needed.
The same is done if it’s a one car MVA or multi car. One difference would be if another pt in same car died, it will automatically be upgraded to a level 1 trauma. But that goes under the category of MOI.
Is there something specific your asking?
That is incorrect, there is no difference.
instead of acting as if you are in the know, just spill the beans and lets see what you are referring to.
I knew the answer the whole time.
So you are only interested in going the distance to show everyone that they dont know and its just you that knows?
But to just write (what you believe is) the correct answer, thats already to much for you?!
You make it sound as if your an attending ER doc in some trauma center and its only you that knows something, you dont come across as someone in the know..
they may care very much but not be interested in the way you approach people. plus they may have mentors they can go to, why assume they don’t care because they don’t take you up on the offer?
Health:
D – Danger, always check the danger to you, any bystanders and then the injured or ill person. Make sure you do not put yourself in danger when going to the assistance of another person.
R – Response, is the person conscious? Do they respond when you talk to them, touch their hands or squeeze their shoulder?
S – Send for help, call 911 and Hatzolah (in that order)
B – Breathing,heck for breathing by looking for chest movements (up and down). Listen by putting your ear near to their mouth and nose. Feel for breathing by putting your hand on the lower part of their chest. If the person is unconscious but breathing, turn them onto their side, carefully ensuring that you keep their head, neck and spine in alignment.
C – CPR
D – Defibrillator
Considering your user name I didn’t think it needed an explanation.
And to answer you question I partake of a varied number of leisure activities.
would you like to hear what i would have said if i wasn’t judging you favorably?
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