You and your partner have been dispatched to a report of a motorcycle crash on a curvy back road.
Fellow riders at the scene reported the patient was travelling too fast to negotiate a sharp curve and
was thrown over a guardrail into a tree. They carried the patient up an approximate 4-foot
embankment to the road.
Upon your arrival, you find a male patient you estimate to be between 20 – 25 years of age, being cared
for by a police officer who has opened the airway using an NPA and is administering oxygen via an NRB.
The officer reports the patient has been unconscious since she got to the scene. Looking down the
embankment, you see the patient’s helmet and note it has sustained significant damage.
As you approach the patient, you observe the patient has gross angulation involving his left lower leg
and deformity to his right humerus.
1. In addition to scene safety, what else would you evaluate during your initial scene size-up?
2. What specific information other than that gathered through a SAMPLE history would you want
to obtain from witnesses at the scene?
3. Other than potential shock and the injuries already listed, what other injuries should you
consider based upon the MOI. (List a minimum of 3)
4. During the assessment of the injured extremities, what must you evaluate to determine the
severity of the injuries?
5. How are you going to manage this patient? (Provide a detailed care plan and include a full
trauma assessment in sequential order)
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