#head block

It was a rainy afternoon and Becky leaves her company after a stressful day. She is tired and want to go home as soon as possible. She drives off and her thoughts are still at work. But sudden on the Country Road she loose shortly the control of her car and she crashed on a tree.

A loud bang and suddenly everything blurs and she lost her consciousness.

When she came to, she feels any pains and hears sirens at the distance. On the driver side stand a police officer and tried to open the door. But he cannot open the door.

"Stay calm, help is on the way" the police officer calling.

Becky is yelling loud "Help me, oh no it hurts, I want to get out of here."

Now she is realizing that she had an accident and she cannot out of the car and her pelvis, neck and chest are in pain.

The sirens are louder and on the road arrived a fire truck and an ambulance. The paramedics are running to the car where Becky is trapped. The police officer tells them that he cannot open the door. The door is still closed, and the firefighters prepare her equipment to extricate Becky.

The paramedic talks to Becky: “We are here to help you, what’s your name?”

“I’m Becky, please help me” she answers with tearful voice.

On the time a Firefighter is on the driver’s door with a hydraulic spreader and he spreads the door open. The metal creaks as the door spread open. Now the paramedics has access to her and they can take the first treatment.

“Hey Becky, I’m Steve and we help you now. Can you tell me if you feel any pain?” says the lead paramedic.

“My chest, neck and pelvis are in pain” mutters Becky.

“Okay, we get you out of there. Please don’t move.”

The lead paramedic bends over her and he cut through the seatbelt.

“Get me the neck brace,” commands he to his colleague.

"I'm going to put a neck brace on your neck to prevent other injuries."

Becky is groaning as he put the neck brace on her.

"I am going to check your vitals and then we try you get out of here," he says.

The lead paramedic called to his colleague:" Get the stretcher with the spine board with head blocks and the portable ecg too."

The lead paramedic cuts open the sleeve of her shirt and he put a bp cuff on her arm. And he searches a vein to set an IV and he started inserting a needle into it. He is inserting a painkiller. Then he is shining in her eyes to check her pupil reactions.

The other paramedic rolls up with the stretcher. On the stretcher lies the spine board with head blocks and the portable ecg and the oxygen set.

When Becky saw that suddenly panic washed over her as she realized the severity of her situation. Her breathing and her pulse get faster.

"Stay calm Becky, you have to breathing slowly and deep,“ said he.

The lead paramedic takes his stethoscope and listen her lungs and heart.

He said to his colleague: "Pupils are equal and reactive, bp is 95/70 and the pulse is 110. Pain in her chest if I touch possible rib fractures. Give me the O2 sensor and the ecg pads"

Meantime the firefighters has cut the car windows out.

"Becky I am going to cut open your shirt and I put some ecg pads on your chest and I put a O2 sensor on your finger."

Becky is moaning quiet as he cuts her shirt in the middle. He put some ecg pads on her chest and connected it with the portable ecg. The O2 sensor is on her finger and shows a saturation from 93. The paramedic puts a O2 mask on her face that she can better breath.

Becky looks wild around and starts yelling: "Get me out, I am dizzy and I feel sick."

We get her out tells he to the firefighter. I think we cut of the roof and we pull her from the back seats onto the spine board.

Okay we do this so, said the firefighter.

"Becky we get you out now, I cover you up so you don't get any splinters." tells the lead paramedic.

The firefighters start to cut off the roof. It creaks and crunches as the hydraulic cutter sliced through the metall. The roof is off and put aside and the firefighters bring the spine board on the back seats.

They bring it in position and the paramedic looks if her feet are free.

"Okay legs and feet are free and on three we lift her out," the paramedic instructed.

"Okay Becky you are out soon, and one..., two... three!"

A synchronized teamwork form the paramedics and firefighters and Becky is lifted up from the wreckage and placed onto the spine board. They carried the spine board onto the waiting stretcher.

Now she lies on the stretcher and the paramedics start a fast body check. The ecg is beeping and the paramedic palpates her body from head to toe.

Her head is additionally fixed with the head block on the spine board.

"Tell me you feel any pain if I am touching you."

Becky moans as he touches her shoulder and chest and pelvis.

"Can you move your feet?" asked he.

Becky moved her legs and feet.

Now they fixed the straps on the spine board.

The stretcher is lifted up and they roll her into the ambulance. The door is closed. "Can you breathe well?"

The other paramedic starts the ambulance and drives off to the local trauma centre.

The lead paramedic looks on the monitor to check her vitals. Bp are 92/62 and the pulse is 115. O2 saturation 91.

"I have a little trouble breathing." Becky whispers.

"Okay I give a little more oxygen." He turns the oxygen amount a bit up.

Then he calls the local trauma centre: "We come in with a female, 25 years old after car crash. Possible blunt chest trauma and pelvis trauma. Unstable vitals and the O2 saturation are 91. Not intubated and ventilated. We arrive about in 2 minutes."

A short time later the ambulance drives into the ambulance entrance at the hospital.