BAYRotor scene — shock, absent left breath sounds
Marco Diaz · 26M · 82 kgno dx
00:00
ETA 16:00
RADIO · THE CALL
Rotor scene — shock, absent left breath sounds
rotor · ETA 16 min · 3200 ft
Motorcycle vs. pickup, 26-year-old male, trapped 8 minutes, now extricated. Local ALS: 'He's getting harder to bag, JVD, trachea feels off.' LZ is a pasture 200 m from the wreck.
Helmet cracked. Jacket cut. C-collar on. Distended abdomen. Left chest hyper-resonant. Weak radial pulses.
ARRIVAL HR 138, BP 78/50, RR 8 assisted, SpO2 78% BVM, GCS 8 (E2 V2 M4).
ROTOR · 16 min · 3200 ft
Name the problem before you open the formulary.
400 ftO2 55mhands
CABIN 400 ftfield 400on deckO2 55 minhands
Practice Patient · 55M
GCS 3 (111)ETT 8@22 · VENT
Perfusion
100%
Cyanosis
0%
Mottling
0%
Chest rise
80%
Practice Patient · 55M
GCS 3 (111)ETT 8@22 · VENT
Perfusion
100%
Cyanosis
0%
Mottling
0%
Chest rise
80%
ZOLL X SERIESPADS OFF
Adult · MONITOR00:00
ECG II
SpO2
CO2
HRbpm
88
NIBPmmHg
—
press NIBP
SpO2%
98
CO2mmHg
36
BR 18
T1°C
36.8
HAMILTON-T1IBW 73 kg · O2 55 min
ASV · recognize, don't flyAdult M · Circuit OK
Ppeak
0
Pplat
0
ΔP
0
VTE
0
f
0
Auto
0
Ppeak cmH2O
0
Pplat cmH2O
0
ΔP cmH2O
0
PEEP cmH2O
8
Auto cmH2O
0
VTE mL
0
fTotal /min
0
I:E
1:2.0
ExpMV L/min
0.0
Cstat ml/cm
45
ORANGE = selected / pending · BLUE = in the breath · APPLY sends orange to the lung
PAPER ARDSNet / PALICC-2 / HOUSE LINE Te
ABC now
Face sheet
Marco Diaz · 82 kg · GCS 8
- Allergies
- NKDA
- PMH
- Stable ICU transfer — skill bay
- Meds / given
- Propofol / fentanyl. Practice anything.
- Position / cabin
- supine · 400 ft
i-STAT
Pick a cartridge. Wrong cart = wrong panel. No hospital lab.
No result yet. Labs are not free.
eFAST
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