Emergency Care Report

(times are approximate)

 

12:15       Dan went under water

 

12:20       Dan was recovered from beneath the water

Single person CPR begun

                Dan was not breathing and had no pulse ( dead on scene)

                He was cold, clammy, pale skin, blue lips, etc…

                Head to toe scan showed no sign of external injury

                C spine immobilization was implemented immediately

                Dan was kept in an anatomical position

 

12:23       Two person CPR administered

 

12:27       Dan’s pulse returns along with shallow, snoring breathing

                He was placed in recovery position with c spine maintained

                He aspirated blood and vomit

                He registered P on AVPU scale, responding to sternum rubs

 

12:30       Began recording sets of vitals (pulse and respiration)

                Dan’s legs were elevated for 15 min.

Dan was completely removed from rising water, covered and shaded to reduce the risk of hypothermia,

heat exhaustion and shock

                He was kept cool with water dripped on face and body

                Shortly after breathing resumed:

                                Capillary refill normal

                                Lips regained color

                                Pupils were equal and reactive to light

                                Skin was flushed and clammy

                He was rotated to a position head/feet

                C-spine and recovery position maintained

                More blood aspirated

                Dan goes into anaphylactic shock

                V on AVPU scale

                Shock escalates and maintains intensity throughout care given at site

                Characterized by teeth grinding, eyes opening, flexing arms, legs, convulsing, vocalizing pain

                Nasal passage become clogged but was emitted with breathing

                Dan was given jaw thrust maneuver to maintain an open airway

 

2:30                Helicopter circling area

 

3:00                 Helicopter landed

                Doctor administered 95% oxygen at rate of 12  by means of non-rebreather mask

                Fluids were administered by I.V.

                Dan was floated across water with oxygen and I.V. on

                He was carried 100 yards to a suitable landing site

 

3:20         Oxygen ran out (20 minute supply), wait for helicopter to mobilize

                Dan is loaded on, long spine board, secured

 

3:45                Helicopter leaves site with Dan