HEMS PRF

LANDING: - We arrived by Helimed 72 at a rural location with a clear landing area. SCENE: - The scene was a two-vehicle collision on a country road. The environment was clear and dry. - Local police and fire services were on scene, managing traffic and ensuring safety. - The patient was found lying on the ground, conscious but in distress, with first responders providing oxygen and stabilizing the neck with a cervical collar. HISTORY: - The patient is a 45-year-old male with multiple lacerations and suspected rib fractures. - The mechanism of injury was a high-speed collision. - Initial findings by first responders included a rapid pulse and shallow breathing. Oxygen was administered, and a cervical collar was applied. PMH: - Hypertension, managed with medication. DH: - Amlodipine 5mg once daily. Allergies: - No known drug allergies. Primary survey: - The patient appeared alert but in significant pain, found supine on the ground. - C: No catastrophic haemorrhage noted. Minor lacerations were dressed with sterile gauze. - A: Airway patent, no obstructions. - B: Respiratory distress noted, SpO2 at 92%, shallow chest rise, and tenderness over the left chest wall. - C: Pulse 120 bpm, BP 100/60 mmHg, abdomen soft, pelvis stable, no long bone deformities. - D: GCS 14, pupils equal and reactive, blood sugar level 5.6 mmol/L. Imp: - Suspected rib fractures and possible pneumothorax. Plan suggest: - Administer analgesia and prepare for rapid transport to the nearest trauma centre. Plan deploy: - Administered IV morphine for pain relief. No complications encountered. The patient responded well to analgesia. - During transport, the patient's condition remained stable. Upon handover, the patient was alert and oriented, with vital signs monitored continuously.