vs-eh? Posted April 13, 2006 Posted April 13, 2006 Why are you working a blunt trauma cardiac arrest?
Guest Posted April 13, 2006 Posted April 13, 2006 Usually with trachea rupture, after a few minutes of ventiallations, sub-glottic emphysema would start to occur. Diaphragmatic herniation, I would find to be rare in thsi situation .. could be, but rare. R/R 911 Unlesss, u have ECMO on board your rig , your pissin into the wind...look at the stats...call it Rid. Done like dinner!
medik8 Posted April 13, 2006 Posted April 13, 2006 Unlesss, u have ECMO on board your rig , your pissin into the wind...look at the stats...call it Rid. Done like dinner! HA! Meh....stick a friggin fork in it...Order UP!
Ridryder 911 Posted April 13, 2006 Posted April 13, 2006 Mean you don't have ECMO ?.. damn heat exchangers...lol Ring the bell.. order up .. watch for the vultures and cancel Christmas...! R/r 911
Eydawn Posted April 13, 2006 Posted April 13, 2006 Well, I just found out today that my stagecraft professor has survived 2 (count em, TWO) blunt trauma cardiac arrests. One MVA, one fall. Statistical anomaly for sure! Wendy NREMT-B
Guest Posted April 14, 2006 Posted April 14, 2006 Thats great....must have had good care, and a few horse shoes in the right places. =D>
Asysin2leads Posted April 14, 2006 Posted April 14, 2006 I've seen this phenomenon twice before, both times on trauma codes. The first was when a helpless old lady met a drunk driver in a pick up truck. Same as you, intubate, CPR, abdominal distention, recheck the tube, its in, etc. I also saw it on a man who was on the wrong end of a tractor trailer's back wheel, same abdominal distention. My honest answer is I don't know. My best guess would be a combination of a pneumothorax and diaphragmatic rupture which allows air to escape into the peritoneal cavity. Perhaps you and I can do research and have it named the "Ruffems-Asysin2leads Sign", or the "This-person-is-fucked-now-stop-playing-around-and-call-it Sign."
ncmedic309 Posted April 16, 2006 Posted April 16, 2006 Why are you working a blunt trauma cardiac arrest? I don't have a problem with giving any patient a fighting chance, but I tend to agree. If it's a traumatic arrest it should be pronounced in the field.
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