[shadowflyer]

We havent done a scenario in quite awhile and I was thinking of something that could be interesting and could relate to something any medic could encounter.

PT is found laying left lateral recumber unconscious and unresponsive with blood coming from his mouth and nose. Male in is mid 20's snoring respirations noted. Pt is displaying signs of decorticate posturing. PT was witnessed as having taken a fall of about 8 feet from a moving bicycle as he was doing tricks on it. PT was not wearing a helmet. No known history or allergies noted. Pupils noted to be unequal and unresponsive to light.

Possible twist to that scenario could be intersection of MSR Tampa as a humvee has collided into the back of another Humvee secondary to an IED intiation. You as the medic notice a soldier laying outside the humvee without his helmet on displaying the same symptoms as our bike rider. Oh by the way ...you are taking small arms fire by this time and as you make it over to the PT a RPG wizzes over your head narrowly missing the humvee you are near.

Assume the skill level of a paramedic/(18D) or higher in both scenarios.

Lets discuss how the stabilization and treatment and care of the 2 patients will differ from the Civilian world to the Military scenario.







Hope this will be educational for everyone and spark some good discussion.


Jason
NREMT-I85/GAEMT-I