Some field prehospital stuff

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OK


Patient  got a liter and a half of saline
put out half of it in urine (darken) (+++) pn urine stix)

Pt vitals signs are good and no postural cahnges


Now J U N G L E

We do not do night transport due to security reason
CAT-SCAN ? there is one in town but we have'nt been able to confirm thatt it is working this week
Would have to transport to the capital for more appropriate care

Will keep you updated

Charles


 



________________________________
From: Larry Torrey <ltorrey at maine.rr.com>
To: Trauma-List [TRAUMA.ORG] <trauma-list at trauma.org>
Sent: Thursday, August 20, 2009 1:56:44 AM
Subject: Re: Some field prehospital stuff

Charles,

Give him a liter or two of NS to see if you can flush out some of the hematuria and increase output. Then evac to the closest facility for a CT on the next available.  

Doesn't sound like you can do much else. 

LT

-----Original Message-----
From: "Bill Mastrianni" <BMastrianni at charlestoncounty.org>

Date: Wed, 19 Aug 2009 19:29:40 
To: Trauma-List [TRAUMA.ORG]<trauma-list at trauma.org>
Subject: RE: Some field prehospital stuff


Charles,
Why can't he go for the 2 hour ambulance ride this evening?

Maj. Bill Mastrianni, EMT-P
Charleston County (SC) EMS 

-----Original Message-----
From: Charles Brault <c_brault at yahoo.com>
Sent: 19 August, 2009 16:11
To: Trauma-List [TRAUMA.ORG] <trauma-list at trauma.org>
Subject: Re: Some field prehospital stuff

2 hour ambulance ride
And unsure about the potential night helicoper there to a third rate clinique
And nothing else after that

Charles




________________________________
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

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



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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