scenario012
44 year old male patient, drive in a head-on motor vehicle collision. Trapped in his car for 20 minutes at scene. Extricated on a long spinal board following roof removal.

Primary Survey
Airway: Intubated, ventilated
Breathing: Bilateral, equal air entry. O2sat 98%
Circulation: Pulse 70/min, BP 110/70
Dysfunction:

Glasgow Coma Score (pre-intubation) 9 (E2V3M4)
Pupils equal & reactive.
Bruising over right orbit.
Exposure: No other external signs of injury

The patient arrives fully immobilised on a long spinal board with sandbags and semi-rigid collar in place.