Reference no: EM133395123

You are dispatched to respond to a motorcycle collision that has occurred on a steep part of the road located within the Hinterland. Upon arrival you find a young male who has struck a road barrier. He has landed among leaves, large rocks, debris and branches. It has been identified that he was travelling at high speed. You evaluate the scene and identify the appropriate personal protective equipment. You evaluate the conditions and proceed with caution to approach the patient. The patient had not been wearing a helmet and you immediately observe that he has sustained significant head and facial injuries. His eyes are closed and he is unable to be alerted via verbal communication. His arms and legs extend when you apply painful stimulus. You conduct a primary survey and find that, although suffering from facial trauma, he appears to be breathing normally but at a slower than normal rate. During your secondary survey you find the following at 9.30am:

•Pulse rate 118

•BP 100/68

•BSL 4.6

•Oxygen sats 92%

•Temperature 35.9°C

•EGC sinus tach

•Chest sounds L=R clear @ rate 14

•Pupils are sluggish to react to light.

You radio the helicopter rescue team and advise them to prepare the stokes litter and update on their location. They update that the helicopter has a 7-minute estimated time of arrival. You continually re-evaluate your patient and relay your patient's condition when speaking to the helicopter rescue team. Shortly after the rescue team arrives and you provide them with a handover report and assist with moving the patient onto the stokes litter. The patient is airlifted into the helicopter.

You radio ambulance headquarters and request a rescue team be dispatched to assist with extracting the patient from the steep forestry terrain. The extraction will require a helicopter, as you identify that the patient will need emergency transportation to the closest hospital, which is located 60km away. As you wait for the rescue team to arrive, you apply a cervical collar and secure the patient on the long spine board.

Identify at least four (4) types of injuries you would expect to see for this patient. Discuss the treatment pathways as per Queensland Ambulance Service CPGs.