The patient was sent to the CT scanner after the EM physician discussed the case with the on-call surgeon. The EM doctor’s note about the conversation is shown here:
The nursing notes from the time the patient was in the scanner:
The patient returned from the CT scanner. 4 units of pRBC were ordered at approximately 13:32, and they arrived at 14:20. The patient’s vitals before blood administration up until this point are as noted in the nursing documentation:
The radiologist rapidly read the scans and documented the following results:
Dr. B discussed the findings with an orthopedic surgeon, Dr. T, who recommends transfer. At 14:34, transport was called. While awaiting the arrival of transport, Dr. B reviewed the labwork and EKG as noted in his MDM.
Anything else you would do for this patient while waiting for the helicopter?