LACoGurneyjockey
Forum Asst. Chief
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Had an MVA the other day, car got rear ended at about 60-70 from a stop. Front seat restrained passenger, no airbags, orher vehicle's driver said the patient was unconscious for an unknown amount of time. 4-5ft of deformity to the rear passenger side of the car. Patient was a GCS of 7-10 enroute improving then declining and back and fourth throughout the hour long transport. My question on the call is more about his vitals however.
Initial BP on scene was 140/80. That progressively dropped over about 20-30 minutes to a low of 60/30. After 500ml of fluid he was back up to 100/70. Stopped the bolus, and rechecked the pressure in 5-10 minutes and it had come up to 190/110. Heart rate remained in the 100-120 range during the entire time.
I'm just looking for some feedback as to what you all think might be going on here. His belly got progressively more distended and by the time we cleared the hospital it was starting to bruise. Left pupil was dilated and sluggish, and cataract of the right pupil made it impossible to assess. Otherwise no outward signs of trauma. Any ideas?
Initial BP on scene was 140/80. That progressively dropped over about 20-30 minutes to a low of 60/30. After 500ml of fluid he was back up to 100/70. Stopped the bolus, and rechecked the pressure in 5-10 minutes and it had come up to 190/110. Heart rate remained in the 100-120 range during the entire time.
I'm just looking for some feedback as to what you all think might be going on here. His belly got progressively more distended and by the time we cleared the hospital it was starting to bruise. Left pupil was dilated and sluggish, and cataract of the right pupil made it impossible to assess. Otherwise no outward signs of trauma. Any ideas?