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Why Harmony was bumped…
956387 Why Harmony was bumped…
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Prehospital (Stanthorpe)
Saturday 12th Feb :16 M: quad bike v horizontal wire fence, nil LOC I: facial injury with deep laceration to face teeth and palate severed (on ice) walking on QAS arrival S: HR 100, BP 145/98, mild pain T: ice pack
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Decision made to intubate for transfer
Arrival Stanthorpe 18:50 AIRWAY Patent airway Avulsed maxilla BREATHING ☑ CIRCULATION ☑ DISABILITY ☑ Decision made to intubate for transfer
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Arrival PAH 22:48 AIRWAY BREATHING ☑ CIRCULATION ☑ DISABILITY ☑
8.0 ETT 24cm at lips BREATHING ☑ CIRCULATION ☑ DISABILITY ☑
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OT 3:00am Reimplantation of maxilla Repair of facial wound
Tracheostomy
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Progress D2 to ward Hyperbaric O2 therapy 18 sessions Readmission for:
R/O necrotic maxilla insertion of obturator to oronasal fistula
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