BAYHerniating TBI
Karim Haddad · 41M · 88 kg · ROTOR
00:00
ETA 18:00
DISPATCH
Herniating TBI
41-year-old male, fall from a loft, unresponsive. Rural volunteer service has a BLS airway and a board. Flight requested for neurotrauma.
Closed head injury, small forehead laceration, no obvious chest/abdomen injury. Left pupil 6 mm. Snoring.
ARRIVAL HR 54, BP 188/98, RR 8 irregular, SpO2 90% NRB, GCS 5 (E1 V1 M3).
ROTOR · 18 min · 5500 ft
Practice Patient · 55M
ETT 8 @ 22 cm · VENT
ETT 8 @ 22 cm · VENT
GCS 3 (111)Pupils 3/3 brisk98°F
Perfusion
100%
Cyanosis
0%
Mottling
0%
Chest rise
80%
CREW X · TRANSPORT MONITOR
Adult00:00
ECG II
SpO2
CO2
HRbpm
88
NIBPmmHg
—
press NIBP
SpO2%
98
CO2mmHg
36
BR 18
T1°C
36.8
T1 TRANSPORT VENT · COCKPITIBW 73 kg · TRAINING
ASVAdult M · Circuit OK
Ppeak cmH2O
0
Pplat cmH2O
0
PEEP cmH2O
8
VTE mL
0
fTotal /min
0
I:E
1:2.0
ExpMV L/min
0.0
Cstat ml/cm
45
Face sheet
- Allergies
- NKDA
- PMH
- Stable ICU transfer — skill bay
- Meds / given
- Propofol / fentanyl. Practice anything.
Labs / ABG
pH 7.39 PaCO2 52 PaO2 90 HCO3 24 BE 0.0 Lac 1.2 Na 138 K 4.1 Glu 112 Hgb 13.4 ICP 38