Another night of nearly nonstop RMT calls, which can be neatly summed up like one of those Chinese restaurant menus where you choose options from each of two columns...
Column A Column B
S/he was drinking and got hit on the head with a guitar
got shot with a BB pellet
S/he was on a snow got stabbed with a knife
machine/4-wheeler and fell down
started having seizures
S/he was playing got into a fight
with a BB gun and drank 3 bottles of R&R
got run over by a 4-wheeler
One man who was extremely intoxicated and combative got stabbed in the chest but would not allow the village health aide to apply pressure to the wound. Under normal circumstances, I would have activated the medevac, but this patient was belligerent and uncooperative and stated he would refuse to fly to Bethel; so I had the health aide monitor him in clinic. She called with frequent updates (vital signs, bleeding check), and each time, I could hear the patient yelling loudly in the background. Finally, the health aide had the VPO (village police officer) cart the patient off to jail because he was out of control. I figured if the patient was running around and throwing things in clinic, the likelihood of a pneumothorax, hemothorax or cardiac trauma from the stab wound was pretty low.
2 comments:
you are hilarious
...but if he had any of those life threatening ailments, you are armed with ATLS and ready to needle decompress!!
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