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Early in the morning Bethany, her best friend Alana, and Alana’s father and brother decided to go surfing. The four of them were chatting on their surf boards out in the ocean waiting for waves to form. All the sudden out of nowhere a giant shark leaps from the water at Bethany and bites her arm off. Bethany goes white and Alana starts to freak out. The three of them together are able to get to the reef and pull Bethany to shore.

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Bethany’s arm was bitten off by a shark. She is loosing a lot of blood and going into shock.

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Bethany was sitting upright on her surf board on the ocean next to a reef when the shark attacked. In order to get to this shore they had to walk down a steep hill with lots of rocks.

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The closest hospital to Bethany Hamilton, was Wilcox Medical Center. This hospital has a level lll trauma center and is the only trauma center in Kauai. They have a 20 bed emergency department. The next closest hospital is Samuel Mahelona Memorial Hospital,

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13-Year-Old Shark Attack Survivor Bethany Hamilton

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Shark Attack! | Soul Surfer (2011) | Now Playing

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I would want to know the following:

VS, LOC, other injuries, signs of shock present, time of incident, ETA, interventions done on scene (tourniquet or pain meds given), any patient allergies or pertinent past medical history.

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In preparation of this patients arrival, I would ensure the trauma bay was warmed and warm IV fluids with a hot line were ready. A massive transfusion protocol would be initiated due to the amount of blood loss and loss of a limb. The trauma team would be activated including the trauma surgeon, anesthesiologist, respiratory therapist, imaging personnel to determine extent of injuries, etc. I would also notify the OR that patient is coming and potentially needs surgical intervention.

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I agree with all of this. Thanks.

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The only thing I would add is the patients age and gender. As well as how the patient lost their limb, and which limb.

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The shark shearing/tearing off her arm, which could have caused bone fractures, loss of blood, and soft tissue damage.