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Some field prehospital stuff

Charles Brault c_brault at yahoo.com
Wed Aug 19 21:06:54 BST 2009





________________________________

From: "Krin135 at aol.com" <Krin135 at aol.com>
To: trauma-list at trauma.org
Sent: Wednesday, August 19, 2009 8:56:56 PM
Subject: Re: Some field prehospital stuff

****
Oh !

And ten liters of saline
2 liters of Plasmion
And 5 liters of R.L.

Charles

In a message dated 8/19/2009 13:54:43 Central Standard Time,  
c_brault at yahoo.com writes:

Out in  nowhere jungle

25 year old received a falling branch from aprox  30 feet (6" diam)
Hitting flank
Small abrasion
Considering the trauma  there is very littl pain to report or illicited by 
deep palpation
ABD soft  non-tender, no guarding, no kidney tenderness
Does remark a discomfortable  pain when bringing back down the leg on the 
affected side
(no proble  leifitng the leg

Anyway not much to read  about

But

put out aprox40cc post incident and a 60cc  1hr post
of burgundy colored urine (blood +++ )


No  relevant PMHx (no urinary  problems)


Now

What is the likely mecanism  ?


Can't ship him out till the morning

Keep  you posted

Charles
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how far out in the field, and what IV fluids do you have available?


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