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Sheldon Cooper was riding a bike and crashed into a mail box due to a chicken chasing him.

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Sheldon Cooper was riding a bike and crashed into a mail box due to a chicken chasing him.

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The patient was found near a mailbox on the cement. Patient was riding his bike in Medford, Texas near his house. The environment is safe from possible injuries and chicken is back with its owner. 

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The patient was found near a mailbox on the cement. Patient was riding his bike in Medford, Texas near his house. The environment is safe from possible injuries and chicken is back with its owner. 

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When arriving the scene, patient was crying and holding his left arm. Patient reports not being able to move the arm, and explains a great deal of pain. The arm is swollen, and I notice a small deformity. There are small abrasions on hand and knee. Patient was not wearing a helmet and does not recall hitting his head. Patient has large bump on head. 

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When arriving the scene, patient was crying and holding his left arm. Patient reports not being able to move the arm, and explains a great deal of pain. The arm is swollen, and I notice a small deformity. There are small abrasions on hand and knee. Patient was not wearing a helmet and does not recall hitting his head. Patient has large bump on head. 

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The nearest hospitals are Providence Hospital which is a trauma level 3 and Asante Rogue Regional Medical Center which is a trauma level 2. They both take pediatrics.

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The nearest hospitals are Providence Hospital which is a trauma level 3 and Asante Rogue Regional Medical Center which is a trauma level 2. They both take pediatrics.

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Scene size up.

Scene is safe

PPE- Gloves and glasses

Mechanism of action- crashed his bike into the mail box

Numbers of patients-1

Additional help-no additional help is needed.

Cervical spine- Have one member from my crew manually hold cervical spine and place a cervical collar.

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Primary assessment/resuscitation

General appearance of the patient- appears to have a broken arm and road rash.

Responsiveness level- patient is awake and alert.

Chief complaint- broken arm and head injury. No apparent life threats.

Airway- open and patent no adjunct is necessary.

Breathing- good deep ventilations, no oxygen needed, no injuries compromise breathing.

circulation- good strong pulse, skin is pink, warm, dry, no major bleeding, patient is not in shock

priority patient- make this patient a priority with the head injury.

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Secondary assessment

Head-Hematoma to the front of his head, no obvious deformities to the skull, pupils are equal and reactive bilaterally.

neck- No JVD, Tracheal distention, No pain or tenderness of cervical spine, no deformities either

chest- no instability to chest wall, good chest rise and fall, breath sounds are good

abdomen/pelvis- no pain/tenderness or rigidity in all 4 quadrants, no obvious injuries, and no instability to the pelvis

Lower extremities- all motor, sensory, and distal circulatory functions are good, does have some road rash on both knees

upper extremities- motor, sensory, and distal circulatory function's are good. does have swelling and instability to left arm.

Posterior thorax, lumbar, buttocks- posterior thorax is good no deformities.

secondary injuries- wraps up the abrasions on the knees.

load the pt up in the ambulance and reassess the patient vitals.

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History taking

Vitals- BP 130/80, Hr 110, rr 20, spo2, 98%, glucose 90, temp 98.6

Signs/ symptoms- broken arm, head injury, abrasions

Allergies- to chickens

medications-zantax

past pertinant history- none

last oral intake-yohoo

event leading up to injury- being chased by a chicken.

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Hospital choice.

We would go to the Trauma 2 if it is closer or about the same time to get there between a trauma 3. with his head injury we want a trauma 2.

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Hospital call

This is Medic 1 can you hear me ok? We are coming in with a 10 year old male with a chief complaint of a left broken arm and a hematoma on the front of the patient head. patient was riding his bike from a chicken when he hit into a mailbox. patient was not wearing a helmet and hit the front of his head on the mailbox. patient is not on blood thinners. unknown if loss of conciousness. patietn does not remember hitting his head. patient does have a cervical color on. no other deformities besides the abrasions on his knees. patient is awake and alert. we do have an IV started on the pt right AC. Vitals are as follows BP 130/80, hr 110, rr 20, spo2 98%, glucose 90, temp 98.6, GCS 15. we do have the arm splinted. We are enroute to your facility and are about 10 minutes out. anything else you need from us?

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Contact parents for pertinent history. Continuous monitoring of airway, breathing, circulation, bleeding, LOC and pain.

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Cervical collar, transfer board, gurney, vitals equipment, splint, IV equipment, PPE supplies, Zantax, sterile gauze and wound cleaning supplies.

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Blunt Trauma