MVA

[themadmedic]

You are the senior medic manning a clinic in a remote location. You have basic lab, basic X-ray, numerous assistants with rudimentary medical training. You have a basic complement of medications (think general military formulary for the BAS).

The enemy situation consist of low intensity threats-mainly ambushes and sniper fire. Your clinic is (relatively) secure. However, you will not able to perform casualty evacuation for 4-5 days.

You receive a patient, 23 year old male who was standing in the gunner’s hatch when the vehicle was involved in a MVA. The patient’s vehicle received front end damage after striking a berm after the driver lost control of the vehicle.

Your patient complains of back pain, but denies neck pain. The patient is noted to have a laceration of the chin. The patient is evacuated to your facility on a spine board with a c-collar in place. The patient has 1 18ga IV of LR in the L forearm and has received 2 liters.

You have what you have-what’s next?

[Doc T]

Originally posted by themadmedic
You are the senior medic manning a clinic in a remote location. You have basic lab, basic X-ray, numerous assistants with rudimentary medical training. You have a basic complement of medications (think general military formulary for the BAS).

The enemy situation consist of low intensity threats-mainly ambushes and sniper fire. Your clinic is (relatively) secure. However, you will not able to perform casualty evacuation for 4-5 days.

You receive a patient, 23 year old male who was standing in the gunner’s hatch when the vehicle was involved in a MVA. The patient’s vehicle received front end damage after striking a berm after the driver lost control of the vehicle.

Your patient complains of back pain, but denies neck pain. The patient is noted to have a laceration of the chin. The patient is evacuated to your facility on a spine board with a c-collar in place. The patient has 1 18ga IV of LR in the L forearm and has received 2 liters.

You have what you have-what’s next?

what is a berm?

vitals? he is talking so airway is okay... is he awake and alert? neck pain when you hold immobilization? back pain when log rolled to palpation? any neuro symptoms? numbness? tingling? rectal tone? moving arms and legs? sensory intact? etc...

[RsovRanger]

berm = mound/line of dirt ranging in height from 1 foot to hill size depending on personal interperatation.

Toradol IM bandaid for the face because he slammed his face up against the heavy gun, and tell him to move out.

[themadmedic]

Originally posted by Doc T
what is a berm?

vitals? he is talking so airway is okay... is he awake and alert? neck pain when you hold immobilization? back pain when log rolled to palpation? any neuro symptoms? numbness? tingling? rectal tone? moving arms and legs? sensory intact? etc...

As RSOV said about the definition of a berm...

Pt. is awake and alert.
C/O neck pain to right lateral neck and trapezial ridge.
Complains of back pain "near my belly button"
Neuro exam grossly normal, CN's nl. Denies numbness nor tingling, rectal tone is normal and there is no blood on rectal glove.

Patient is moving arms and legs, with grossly normal sensation.

[J.Meoff]

If your a Ranger medic, you put both hands on his shoulders and take a core temp.

The other SOF medics; do the usual diagnosics, and aren't interested in your silly games.

[RsovRanger]

Hey Hey! last time I checked Ranger's were not task org'ed to the navy, so why would we pick up your habits?