Outdoors > Search and Rescue >
Rescues
| Date | Age, Gender, Activity | Chief Complaint | Details | My Role |
|---|---|---|---|---|
| February 13, 2011 | 31, F, Rock climbing (sport and top rope) | Pain in left leg, 3 inches proximal to knee | From my SOAP note: Scene: Top of cliff, ~75 degrees F, direct sunlight, clear sky, 0940 hrs, Joshua Tree National Park, CA, west of gravel pit north of road; Symptoms: Left leg pain, proximal 3 inches from knee, 8 out of 10 on pain scale, ANOx4, positive distals; No allergies; Taking Claritin for hayfever and Nuvaring birth control; No past history of left leg injuries; Last ate crakers at 0900 hrs, last drank water minutes ago; Events: was sport climbing up pitch, set anchor for top rope, flake of rock came off above her, hit leg, fell off cliff; Exam findings: ANOx4, Negative loss of consciousness, point tenderness 3 inches proximal to left knee, positive vitals, postive distals, negative secondary assessment, no other patient complaints; Vital Sign summary: taken from 0945 hrs to 1124 hrs at 15 minute intervals, slightly tachycardic at 0945, returning to normal by 1006, slight acute stress reaction to thought of repelling down cliff at 1103 hrs, vitals resolved with reassurance by 1124 hrs, Respirations consistently between 24 and 20 per minute, Blood pressure between 138/90 and 120/80; Assessment/Anticipated Problems/Plan: Acute stress reaction/continued ASR/Reassure patient, Unstable left knee, 3 inches proximal to knee, probable femur fracture/Negative distals, hypovolemic shock/Splint, emergent transport, RICE (traction splint not indicated due to proximity to knee joint), Environmental exposure/Sunburn, heat exhaustion and stroke/Water, shade; Additional Notes: Constant pain level of 8 out of 10, Patient Name: (omitted to protect privacy), Patient Age: 31, Patient Phone Number: (omitted to protect privacy), Patient Emergency Contact: (name, phone number and address omitted to protect privacy), at 1103 hrs patient became anxious about the litter lowering. I assured her and her vitals responded. | First on scene, assumed primary medic role, provided primary care and became litter attendant in high angle litter lowering over 70 foot cliff, communicated with rescue team members and base via radio, lead carryout of litter upon completion of lowering |
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