scenario003
24 year old man, head on collision at high speed with a house. The paramedic crew have administered oxygen, started an intravenous line and administered 1 litre of crystalloid.

Primary Survey
Airway: Clear
Breathing: Respiratory Rate 28
Bilateral, equal but poor air entry.
Diaphragmatic breathing pattern
Circulation: Pulse 130/min, BP 70/30
Dysfunction: GCS 15. No movement or sensation below C5. Priapism
Exposure: No other obvious injury