End of shift Paramedic Report: Scalped Trauma

I will do my best to keep all HIPPA laws in check. Which basically means I cannot give any info that would identify anyone in any way possible. I also cannot talk about high profile cases. I think I have done a good job of not violating these rules but please notify me if I have somehow.

All photos are taken from the internet randomly.

Case study purpose only

Male in his 30s; driver of a sedan who crashed into a parked truck. The truck's transmission broke and it shot into a house. No one injured inside the house. Driver found unconscious behind the wheel.

The hood of the car bent back; through the windshield and over the steering wheel; scalping the driver.

Pt is woken up; bubbling from his throat through the blood.

Immediate extrication; seatbelt is cut; pt is dragged out onto the street.

No airway compromise found

Placed in full C-spine precautions with a C-collar and a backboard.

Admits to drinking heavily

AOx2 only to name and place

Head is bandaged...

no hx allergies or meds

Pt placed on high flow O2 via NRM; SaO2 100%.

18 guage IV in the left and right AC attached to 1 L bags of normal saline

Code 3 return to nearest trauma facility

All images are taken from bing.com under keywords mentioned above

If I am doing anything that violates hippa or if you have any concerns - please voice them because I would be happy to hear or take down this post. I thought it would be kind of cool to have a medical discussion; people can learn or even I could learn by someone else sharing knowledge. This is only 1 out of 5 calls I had but this one was the most interesting.