mycrofft
Still crazy but elsewhere
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- 48
- 48
You are first on scene at (your pick):
1. A paper recycler factory where a worker got his fingers into a cold (not heated) drying roller up to the elbow.
OR
2. A corn auger, the victim got off the seat and tried to kick a jammed load through, pulled foot into the machine to mid-calf.
Pt is trapped in the machine with the engine just idling, in tremendous pain, conscious, alert, little to no active bleeding but moderate amount of blood in vicinity, maybe more in the machine. VS accelerated but not shocky. Healthy 24 y/o, no meds, no drugs, no alcohol. If you want, throw in some tobacco use.
1. What are your immediate actions upon arrival?
2. What if any extrication do you perform?
3. Any special considerations for these types (crushing with stretching) injuries?
If you will, please use your company or department's actual protocols for us so we can discuss them. If you are going to "arm-chair" this, say so. (Any discussions of anatomy, physiology or meds will be assumed to be arm- chaired unless otherwise stated).
OK, GO.
1. A paper recycler factory where a worker got his fingers into a cold (not heated) drying roller up to the elbow.
OR
2. A corn auger, the victim got off the seat and tried to kick a jammed load through, pulled foot into the machine to mid-calf.
Pt is trapped in the machine with the engine just idling, in tremendous pain, conscious, alert, little to no active bleeding but moderate amount of blood in vicinity, maybe more in the machine. VS accelerated but not shocky. Healthy 24 y/o, no meds, no drugs, no alcohol. If you want, throw in some tobacco use.
1. What are your immediate actions upon arrival?
2. What if any extrication do you perform?
3. Any special considerations for these types (crushing with stretching) injuries?
If you will, please use your company or department's actual protocols for us so we can discuss them. If you are going to "arm-chair" this, say so. (Any discussions of anatomy, physiology or meds will be assumed to be arm- chaired unless otherwise stated).
OK, GO.