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Sat Jun 9 22:05:35 BST 2007

Colleagues, 
Opinions, comments, analysis, advice would be appreciated on the pre-hospital
management of this case: 
Adult woman, driver of a motorcycle, which was stopped at an intersection in
town (10,000 pop). Seven blocks from the hospital. A semi truck, hauling a
bulldozer type, heavy equipment, pulled up along side of the motorcycle.
Restraining chain broke and the implement fell off of the truck, crushing the
woman's right leg beneath the tread of the equipment. Unable to get VS. IV
started. Patient awake. At least 30 minute extrication. Local, ground EMS advise
trauma alert. A full trauma team (boarded ERP, GS, anesthesia, OR crew) all in
house and waiting for patient. A helicopter was dispatched to the hospital for
likely transfer, after local evaluation and stabilization, to tertiary center,
45 air minutes away. Ground EMS personnel diverted the helicopter to the scene.
The patient was transferred from the site. I have no other details.
I will present this case at the local trauma committee meeting. I am looking for
help in organizing my thoughts. Thank in advance. 

--
Kind regards,
Phil
Phil Caropreso, MD, FACS
1813 Grand Avenue
Keokuk, Iowa, USA, 52632
pjcabdds at mchsi.com

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