A 34-year-old pedestrian was struck by an auto and thrown to the roadside. She is found complaining of bilateral hip pain and is unable to move her legs. Upon examination: LOC – alert, oriented, anxious Airway – patent Breathing – slightly rapid but, adequate SpO2 – 93% on ambient air Circulation – rapid, weak radial pulse; pale, cool, diaphoretic skin; no external bleeding Signs of injury found during secondary assessment: pelvic instability and crepitus accompanied by pain, deformity at L3. Vital signs: BP – 90/60, pulse – 120, weak, regular, and respirations – 22, regular. Treatment? Rapid transport to level 1 trauma center. Reassessment performed every 5 minutes.
Upon examination:
LOC – alert, oriented, anxious
Airway – patent
Breathing – slightly rapid but, adequate
SpO2 – 93% on ambient air
Circulation – rapid, weak radial pulse; pale, cool, diaphoretic skin; no external bleeding
Signs of injury found during secondary assessment: pelvic instability and crepitus accompanied by pain, deformity at L3.
Vital signs: BP – 90/60, pulse – 120, weak, regular, and respirations – 22, regular.
Treatment?
Rapid transport to level 1 trauma center. Reassessment performed every 5 minutes.
The female struck by an auto is a case of a road traffic accident. The increasing number of road traffic accidents is a significant cause of injury and death. A case of a road traffic accident is included under the medicolegal case. The vital signs and consciousness of the patient indicate that the damage was not severe.
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