[shadowflyer]

Originally posted by shadowflyer
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

To quote myself ....I forgot to add a critical task. C-Spine control, with that type of blast injury there is high index of suspicion of C-spine/t-spine injury. The Secondary blast effect is what got the object lodged in his trachea and the Tertiary blast effect would have knocked him back thus having a MOI that would suggest C-spine/T-spine injury.


JJEdit for being a knucklehead....I completely overlooked that the object was in the trachea and the only time you remove and impaled object is if it occludes the airway. Learning...it is a wonderful thing.