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#Post#: 5--------------------------------------------------
SHOCK II
DIR By: Leslie Myers
Date: December 14, 2011, 10:47 pm
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Your patient has sustained a fractured pelvis and has VS of BP
88/52, P = 122 What is the best treatment for this patient?
#Post#: 15--------------------------------------------------
Re: SHOCK II
DIR By: fire56ch
Date: December 16, 2011, 1:27 pm
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apply MAST give o2 call for als
#Post#: 19--------------------------------------------------
Re: SHOCK II
DIR By: fire56ch
Date: December 17, 2011, 9:29 pm
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Let me add immobiliz and keep pt. warm put pt.on scoop stretcher
or back board
#Post#: 28--------------------------------------------------
Re: SHOCK II
DIR By: Brendan
Date: December 22, 2011, 8:48 am
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Immobilize the patient, here is where MAST would be useful if
available (they would provide immobilization and would help to
treat for shock). Apply oxygen, treat for shock, and request ALS
response if not already dispatched.
If travel time to ER is less than ALS travel time transport
without delay monitoring vital signs every 5 minutes.
#Post#: 30--------------------------------------------------
Re: SHOCK II
DIR By: anthony larocco
Date: December 22, 2011, 3:20 pm
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Immobilize patient using mast pants if available. give o2,keep
patient warm & as comfortable as possible. This is a load and go
patient. If there's a time delay or your distance to the
hospital is great then call for an als rig. they can meet you in
transit.
#Post#: 32--------------------------------------------------
Re: SHOCK II
DIR By: Lisa White
Date: December 22, 2011, 6:44 pm
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Must agree mast pants are the best, high concentration o2, treat
for shock, and ALS would be great if it doesn't delay patient
transport to facility.
#Post#: 39--------------------------------------------------
Re: SHOCK II
DIR By: rulrich
Date: December 26, 2011, 4:24 pm
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i would immobilize the pt. the best i can on a long spine board
. give the pt. o2 via nrb since the blood pressure is kind of
low i would elevate the foot of the board .
#Post#: 44--------------------------------------------------
Re: SHOCK II
DIR By: mikekennedy
Date: December 28, 2011, 8:30 pm
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immobilize via longboard with MAST if available since patient BP
is under 90 systolic with unstable pelvis. foot of backboard can
also be elevated if possible. immediate transport and notify ALS
if possible
#Post#: 50--------------------------------------------------
Re: SHOCK II
DIR By: Leslie Myers
Date: December 30, 2011, 8:13 am
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I posted this question in Shock also,
How will you stabilize the fractured pelvis if you do not use
MAST pants? Will a long board alone stabilize the pelvis?
#Post#: 52--------------------------------------------------
Re: SHOCK II
DIR By: mhundt
Date: December 30, 2011, 9:23 am
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A long board alone does not offer maximal stabilization. I
would use sheets/blankets to stabilize the pelvis before moving
the patient to the long board. Padding the voids afterwards
would also make the patient more comfortable.
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