So we are going to facilitate a trauma scenario now.
So you can see we have the mannequin on the floor with blankets.
The blankets are supposed to be snow.
It’s not really snow, but we’re hoping it’s just enough to get our participants
in that mindset to go with it.
Okay, so these are the vital signs.
And really the point of this scenario is for our responders to respond to the scene, perform
an assessment.
What they are going to find is that the patient has a pneumo.
I’ll show you that again.
Clicking on the lungs and then clicking on pneumothorax, I can then choose which side,
so I’m going to give him a right sided pneumo and then activate.
There might be some other injuries that are hard to simulate using the mannequin so as
the facilitator I will be verbalizing what they are if the participants actually assess
them or look for those things.
Okay Truck 53, 27 year old male ATV rollover, no
helmet County Road 1643.
Time now 1430 (Voice on the radio)
Roger that, we are on it.
(First male) Hello.
Alright, BSI.
Scene safe.
(patient moaning) Looks like we have a 27 year old male unresponsive.
Sir, can you hear me?
My name is Hans with the ambulance service.
This is my partner Todd, can you hear me sir?
Can you hear me?
Okay, unresponsive.
Let’s get a set of vitals and start checking for any injuries.
Use my penlight, shine in the eyes.
Do his pupils react to light.
(Narrator) Pupils are reactive to light.
(Hans) Looking for any DCAPBTLS in the head, mouth
and nose.
Looking for any JVD or tracheal deviation.
(Narrator) Negative
(Hans) Any clavicle injuries?
(Narrator) Negative
(Hans) I’m gonna auscultate for the lung sounds
here.
Okay, I have no lung sounds on the right (Narrator)
That’s correct (Hans)
I’m going to confirm that, I only have chest rise on the left.
(Narrator) That’s correct
(Hans) So I have a possible tension pneumo.
I’m going to stop right there and would you grab me the needle out of the bag there.
We are going to needle the chest here.
We are going to do 2nd intercostal space mid-clavicular just above the 3rd rib.
(Todd) Right arm feels good.
(Hans) I’m not going to actually needle the chest
on the mannequin because that’s expensive.
Okay, needle in chest.
Do I hear any type of air release?
(Narrator) You do (makes blowing sound)
(Hans) Okay so I’m going to reconfirm that I have
chest rise on the right side now (Narrator)
You do (Hans)
Okay I’m going to continue my assessment.
Abdominal area?
(Narrator) Abdomen is soft
(Hans) Okay.
Pelvis?
(Narrator) Some instability
(Hans) Okay.
So noted.
I’m going to stop there an I’m going to put a pelvic binder on, my partner and I are.
(Releasing Velcro noise) To you partner.
A little higher, okay.
Pull it down.
Pelvis stabilized.
Going down the left leg here checking for any injuries
(Narrator) Negative
(Hans) Pulses?
(Narrator) Pulses are intact.
(Hans) Okay.
Sir can you wiggle your toes?
(Narrator) No response.
(Hans) Okay, checking the other leg here.
(Narrator) Negative
(Hans) Feeling for a pulse.
(Narrator) Pulse is intact
(Hans) Left arm, same.
Pulse?
(Narrator) Pulse is intact
(Hans) Sir, can you squeeze my hands?
(Narrator) No response
(Hans) Right arm.
Pulses?
(Narrator) Pulse is intact
Blood Pressure is 90 over 40, heart rate is 125
(Hans) Alright.
Okay.
So the injuries that we have are the right pneumo which is back has been, something (laughs)
fixed.
We’ll keep an eye on that right side in case it reinflates.
Pelvis is stabilized.
Let’s go ahead and get him on a long board and we’ll get out of here.
(Narrator) Alright, nice job.