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Posted

Absolutely not, you must accept everything I say as Gospel and never question it! :D

In a recent clinical circular, our Clinical Management Group stated

Interesting. Do you stick the pad down on all sides or leave the bottom open kinda like a one way valve?

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Posted

Thank you for the insight kiwi. Back to the pharmacology books I go.

Posted

Based on a 19 minute transport time to a Trauma center-

First and foremost- LSG(Lights, siren, and gas) This guy needs a surgeon 5 minutes ago if has is to have any chance of survival. Textbook example of load and go and do everything enroute.

Whatever treatments you can do ENROUTE- fine, but do not waste time on scene. Address the breathing issues,address the tension pneumo, 2 large bore IV's wide ENROUTE- he's already lost 300 cc's of blood, plus internal bleeding- you need to buy some time so he doesn't crash before he gets to the OR. An engine company is fine for help- bring them with since this guy is likely to code enroute.

I'm thinking there will not be a good outcome for this guy- it all depends how quickly they can get him to the OR.


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