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Tue, 10 Jun 2003 08:44:32 EDT

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We have an interesting ongoing case

46 year old man loves to ride and race his  motorcycle.   A few nights ago he 
was racing with a friend and going 100 mph.   He was wearing shorts, sandals, 
and no helmet.    He popped a wheelie to demonstrate his ability to do so, 
but when the motorcycle came down, the front wheel came down the back of a Honda 
car traveling considerably slower.   He encountered the pavement for about 40 
yards and the ambulance was called.    

He arrived with a GCS of 15, but with the smell of ETOH on his  breath, road 
rash on scalp, both arms, both legs, back, and shoulders.   Apparent fractures 
of both forearms and pelvis appeared unstable.   BP 140/70, P 84, R 20.   O2 
Sat by pulse Oxymetry 100.   Chest X-ray basically normal.  Orthopedic X-Rays 
confirmed wide open book fx of pelvis, Fx of both wrists.   C-Spine cleared.   
FAST normal.   Admitted to trauma service with plans for orthopedic surgery 
to fix his bones ASAP in OR.    

So, I guess the questions at this point include:

Choice of antibiotics if any
Choice of DVT prophylaxis if any
Timing of orthopedic repairs if any
When to sign him off to the orthopedic service. 

k  

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<HTML>We have an interesting ongoing case 
 
46 year old man loves to ride and race his&nbsp; motorcycle.&nbsp;&nbsp; A f=
ew nights ago he was racing with a friend and going 100 mph.&nbsp;&nbsp; He=20=
was wearing shorts, sandals, and no helmet.&nbsp;&nbsp;&nbsp; He popped a wh=
eelie to demonstrate his ability to do so, but when the motorcycle came down=
, the front wheel came down the back of a Honda car traveling considerably s=
lower.&nbsp;&nbsp; He encountered the pavement for about 40 yards and the am=
bulance was called.&nbsp;&nbsp;&nbsp; 
 
He arrived with a GCS of 15, but with the smell of ETOH on his&nbsp; breath,=
 road rash on scalp, both arms, both legs, back, and shoulders.&nbsp;&nbsp;=20=
Apparent fractures of both forearms and pelvis appeared unstable.&nbsp;&nbsp=
; BP 140/70, P 84, R 20.&nbsp;&nbsp; O2 Sat by pulse Oxymetry 100.&nbsp;&nbs=
p; Chest X-ray basically normal.&nbsp; Orthopedic X-Rays confirmed wide open=
 book fx of pelvis, Fx of both wrists.&nbsp;&nbsp; C-Spine cleared.&nbsp;&nb=
sp; FAST normal.&nbsp;&nbsp; Admitted to trauma service with plans for ortho=
pedic surgery to fix his bones ASAP in OR.&nbsp;&nbsp;&nbsp; 
 
So, I guess the questions at this point include: 
 
Choice of antibiotics if any 
Choice of DVT prophylaxis if any 
Timing of orthopedic repairs if any 
When to sign him off to the orthopedic service. 
 
k&nbsp; </HTML>

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Wheelie @100 mph