MTC 6

[wellingcountry]

Ok I found this on another forum and though I would see how everyone would handle this



Ok... I just have to ask... I had a situation with a patient and am curious as to whether my partner and I may have.... "Over reacted" maybe? We were asked to transport a 1yr old kid with a Femur Fx. It was a complete break positive rotation, edema, shortening... THE WORKS!!! They wanted us to take the kid from lying on the bed and sit him up into a car seat, AND maintain C-Spine. Are my partner and I TOTALLY wrong thinking that this was NOT A GOOD IDEA by any means???
According to the parents he was sitting on a 5 ft countertop and fell.

[opsoverkill]

Number one this is a ALS treat. Due to the potential blood loss!

You have to take the c-spine and transport on longboard.

So you are not wrong with that thinking. You have to talk the Parents into allowing you guys to transport. If they still refuse tread lightly and get the police involved maybe placing infant in protective custody and DYFS called. But that should be the last resort!!!

[noxnoctisangelus]

Wow, this almost sounds kinda sketchy. Who would have their kid on a counter top unattended? And 5 feet counter top? Who lives in the house Shaquille O'Neil?

I would have boarded, collared... the whole nine because let's face it, your dealing with a kid who's going to compensate until it's too late. As to boarding and collaring, the kid is now supine on the bed, why go and change positions? And as Sean said, definitely ALS. I'd also like to make sure I have PD on scene in case there is something more going on. Depending on the time of day and how far you are from a trauma center, I might even see if the chopper was available. (Before you get on my case for this: In my defense, people have been flown for a lot less.)

With something of this nature I'd rather be yelled at for overreacting then under reacting. That's just my $.02 though.

[goofey44]

Board, collar, CID, als, trauma center.

[albasi202]

Agreed with everyone else, definitely an ALS treat. I also feel like moving him from a lying position (on the bed) to a sitting position (in the chair) isn't a good idea. Considering the average height of a 1 year old is about 28 inches (yes I googled that) and the oddly high counter of 5 ft, then the fall was a little more than twice the height of the child; definitely have to take c-spine precautions, ideally on a board. That's just my opinion though. There are pedi-boards made specifically for infant and pediatric spinal immobilization. I tried looking up an article that would relate to this, but I couldn't find anything that related to the EMS side of pediatric spinal injuries, mostly articles for doctors and whatnot. Anyone ever had an experience with a pediatric trauma and would like to describe how they handled c-spine?