00:00
Ambulance level one trauma transfer out of Marlette ER to your facility.
00:04
Patient is a (number withheld)-year-old male, ran over by a hay wagon, trauma to the head, predominantly.
00:11
Also reports of the wheel on the wagon rolling over his abdomen.
00:17
Patient was brought in by ground EMS,
00:19
went into cardiac arrest on arrival.
00:22
After approximately 20 minutes of ACLS, patient got a pulse back.
00:31
Currently, we've got.
00:35
Three IVs and stat.
00:36
She's got nor epinephrine at 12 micrograms
00:40
We're giving a push dose epinephrine on top of that to maintain a blood pressure, which is currently cycling a new one.
00:46
But we've been hypotensive for the entire time.
00:50
We are finishing up our 3rd unit of packed red blood cells, going to work on a 4th .
00:54
He's got a gram of TXA.
00:56
He's got, he'll have 200 mL of 3% on arrival.
01:03
Would you like him to get any?
01:07
Would you like him to receive any calcium due to the four unit for blood?
01:14
As far as calcium, we're going to follow your protocol.
01:16
Nothing from us right now.
01:23
We'll give him one arrival.
01:27
We'll see in the trauma bay if I have any changes.