Crush Injury Patient Management | Case Breakdown (July 12th, 2024) скачать в хорошем качестве

Crush Injury Patient Management | Case Breakdown (July 12th, 2024)

🚨🚑 You're dispatched to a remote area for an injured arborist. Dispatch advises you that the arborist's leg is pinned under a large log and it is approximated he has been stuck for 6 hours. He complains of intense pain and nausea. You arrive along with Fire/Rescue to find the patient with his left leg pinned underneath a large log and in obvious pain. There is no obvious bleeding, he is C/A/O x4, with warm and dry skin, and all injuries are isolated to the trapped leg. The patient is a 58-year-old male with a history of hypertension and hyperlipidemia. He has no allergies and takes lisinopril and fish oil daily. His foot is exposed from beneath the log and is able to move it slightly but has no sensation or circulation upon assessment, and rates his pain 10/10. His BP is 114/80, HR is 104 NSR and has no abnormal ECG findings. What 4 options are the best treatments for this patient? A) 20mL/kg fluid bolus B) High-flow oxygen via NRB C) Lasix D) Analgesia medications E) Nebulized Albuterol F) Sodium Bicarbonate #paramedicstudent #emtstudent #emtschool #emt #emtlife #paramedic #paramedicschool #paramedicos #paramediclife #paramedicscience #paramedical