You are working as part of medical cover for an equestrian cross-country event as a first aider. The day so far has been uneventful, and the jumping section you are stood by has garnered no issue from the competitors and their horses so far. A new rider and horse enter the section, the first two jumps are covered with ease. As the rider approaches the third jump, the horse misplaces its’ footing. The horse impacts the solid jump feature and somersaults over. The rider hits the floor with a crash and the horse rolls over her. The horse stands up and canters off, the rider lays motionless on the floor.
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You and your colleague approach the patient. You’ve updated your medic control of the incident and location, and they are sending Paramedic back up to further support. The event organisers have shut off the course, so no more horses and riders will be coming through.
The rider is laying unconscious on the floor. There is an open fracture of the left femur with a small amount of bleeding. The patient is breathing, but there is audible snoring with difficulty in breathing. What should be your first management
You note the small amount of bleeding from the leg but it isn’t catastrophic. The patient is struggling to maintain their airway. What management should you look to apply
You attempt to manage the airway with a jaw-thrust manoeuvre while maintaining c-spine. Due to the riding helmet, you can’t get the patient in the best position to manage the jaw-thrust. Can you take off the helmet in this situation
You and your colleague carefully remove the riding helmet while maintaining c-spine control. In this new position, you can better manage the airway with the jaw-thrust. As you maintain airway, your colleague continues to assess the patient. The patient starts retching, and vomit begins filling the airway. What actions can you take
You grab your suction device and suction the airway, continuing to maintain it. Your colleague has assessed breathing and has noted a reduced air entry on the left side of the chest. What condition can this indicate within the trauma scenario
As you’re colleague continues assessing, they note bruising starting to form on the flank of the abdomen, and the abdominal wall is rigid to touch. What can these signs indicate in the trauma patient
You suspect that the patient is suffering from internal haemorrhage following the injuries. When assessing for haemorrhage in trauma, which 4 areas can significant internal haemorrhage collect
For managing potential internal pelvic haemorrhage, what action can you do
Your colleague applies a pelvic splint and continues to assess. They look at the open femur fracture. What basic actions can be done to assist in managing the fracture
Your colleague splints the leg injury and continues to gather observations. Your back up is just round the corner, what 3 considerations make up the trauma triad
You wrap the patient in a foil blanket and maintain their heat. Doctor and Paramedic support arrives, what are you handing over to them