24 y/o Female Gunshot April 10, 2011Posted by emspatientassessment in Trauma Patient Assessment.
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22:51 – You are responding to an apartment complex courtyard where a 24 y/o female who was shot in the neck and the chest. She is conscious but barely breathing. The scene is safe, patient was shot by her ex-boyfriend who is now in police custody, she is the only patient. Patient appears unstable, but alert. She is complaining of difficulty breathing. Her breathing appears tachypneic and labored. Upon assessment, you find major bleeding from her neck and chest. Pulses are tachycardic and thready, skin is pasty white, cold and diaphoretic. There are no apparent injuries to the head, but multiple small punctures to the neck and chest. Lung sounds are present, no JVD, trachea midline. No sucking sounds from chest. Radial pulses are weak. A first responder has obtained vitals: BP 100/70, pulse 120, pulse oximetry reading 95%. The patient is complaining of severe fatigue. Resources include your ambulance, your partner, four fire fighters and fire apparatus.
Post a comment and discuss what your next intervention and course of action would be as lead medic.