>impalement injury with arterial involvement
>unknown mechanism where a length of u-channel post completely penetrated the right lateral to medial thigh and left medial to lateral calf
>obvious femur fracture with significant bleeding —tourniquet placed proximal to the impalement and stabilized as best as possible
>surgeons removed the post and inserted a shunt from the femoral to popliteal arteries to restore distal perfusion
>this is why we don’t attempt removal in the pre-hospital setting
>we cannot manage arterial involvement without significant blood loss and inadequate distal perfusion, risking loss of life and limb
First look inside Boeing’s BBJ 3 private jet, based on the 737-900ER! Interiors look amazing - check out http://www.theaviationwriter.com for more photos and info!
“Dallas firefighter [Stanley Wilson, Dallas Fire-Rescue] killed in six-alarm condo fire.” via Firefighters facebook page.
Rest easy, brother. We’ve got it from here.
Dallas, Texas. Firefighter down. Rest In Peace Brother.
South Metro Fire, E-2
Structure fire, Detroit Fire Department on scene
Happy EMS week. Thank you for everything that you do!
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