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Controversies in Pre-Hospital Care Master Paramedic Panel

Controversies in Pre-Hospital Care Master Paramedic Panel. Robin Barber Andrew Bernard Carol Coyle Randy Fathbruckner Les Fryman John Hultgren. Case 1 Traction or not?. Fall from a roof 50 YOM Screaming in pain Angulated LE Exposed femur No pedal pulse. Case 2 How then the airway?.

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Controversies in Pre-Hospital Care Master Paramedic Panel

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  1. Controversies in Pre-Hospital CareMaster Paramedic Panel Robin Barber Andrew Bernard Carol Coyle Randy Fathbruckner Les Fryman John Hultgren

  2. Case 1Traction or not? • Fall from a roof • 50 YOM • Screaming in pain • Angulated LE • Exposed femur • No pedal pulse

  3. Case 2How then the airway? • 25 YOM • Rollover MVC • Entrapped • GCS 8 • RR 8 • Laryngoscopy attempted • No view • Jaws tight

  4. Case 3By Land or by Air? •  MVC • Adult female • Short extrication • Awake • HR 120 • SBP 90 • Abdominal pain • 30 minutes to level 1

  5. Case 4How much is enough? • Shooting • Male • RUQ wound, only • SBP 80 • Palpable radial pulse • 15 minute ETA to level 3

  6. Case 5What to say? • School bus crash •  50 elementary schoolers • 15 to hospital • Some severe • Reporters have been on scene

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