Quote:
Originally posted by swatsurgeon
here's a (?) common scenerio........especially around explosions.
I'm going to attach a few pictures of impaled objects
1) piece of shattered glass in the trachea; very few people wear neck protection
How do you field manage......be specific..
T-2
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I am in EMT-Intermediate school right now.
1. At the level of training which I have OPA or NPA would be used to manage airway, suction and make sure he is moving adequate air and his SPO2 is looking good.BVM with 15l/m 02 if needed or NRB if adequate tidal volume and monitor SPO2. Control bleeding on wound site wrap object and leave in place. Rapid trauma assessment, head to toe. Fixing things as I find them. 2 18g IV NS run them wide open Inital bolus of 250ml to titrate to mentation and keep a systolic above 90 -100 mmHG. Rapid Transport to bright lights and cold steel.
I know of more advanced airway procedures that could be used but I have not been trained on them yet.
Jason