Managing a Patient with a Pelvic Fracture

Here's the case from earlier today: 🚑 🚨 You are called to an 18-year-old male patient who was hit by an ATV while walking down a dirt road. You find the patient unconscious unresponsive laying prone. Bystanders state that the ATV came up from behind and hit him and the patient went under the wheels of the ATV. The patient has multiple lacerations and contusions. On assessment you find the left clavicle is fractured, left chest wall is unstable, abdomen is soft, pelvis is unstable when pushing anterior to posterior, left leg is stable but shortened. 👉 Here are your vitals Skin Normal LOC Unresponsive Eyes Left 4mm Right 4mm PEARRL Resps 28 shallow Pulse 148 Temp Normal BP 72 / 40 BGL Normal SPO2 84% ETCO2 28 ❓ What treatment would you like to do in the next 10 minutes? ❓ Should this patient be intubated? ❓ What concerns do you have for this patient for the 30 minute transport time? ❓ Does this patient require blood? #paramedicstudent #emtstudent #emtschool #emt #emtlife #paramedic #paramedicschool #paramedicos #paramediclife #paramedicscience #paramedical