Taskings log

Scene time

Total time

Governance

General Interventions

Additional Comments

S/D

Job Description

Type

Gender

Age

Date

Responder

Medserve

reference

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M010

CB664

17/09/2020

female

trauma

RTC - Car vs Motorcycle

NO

00:31

01:02

NO

Additional Comments

RTC involving small hatchback and motorcycle
car driven by elderly female had overturned
male motorcyclist had been trapped by left arm under vehicle initially but had self-extricated
WAST crews and helimed 57 already on scene by the time I arrived
no significant injuries - casualties transported to local hospital(s)

M009

CB664

16/09/2020

35

male

trauma

Van vs stone wall

NO

00:25

00:52

NO

Additional Comments

van with driver as sole occupant vs stone wall
WAST & EMRTS first on scene
casualty being prepared for RSI as I arrived

M008

SB5846

07/09/2020

59

female

trauma

Car vs Pedestrian - 30mph

NO

00:36

00:47

NO

Immobilisation, Assisted Transfer

Additional Comments

30mph, thrown in air, unconscious head injury, significant scalp injury
GCS 14 on arrival, ABC stable, assist crew with packaging. ATMIST UHW
travel behind on blues in case of deterioration
handed over to UHW TTL (Dunn)

M007

CB664

05/09/2020

77

male

trauma

Fall at home - head injury

NO

00:51

01:13

NO

Immobilisation

Additional Comments

17D04G - patient with parkinson's had fallen backwards and hit head on furniture.
HMCG first on scene in first responder role and had requested my attendance.
Casualty had suffered likely forced flexion of neck and had mildly tender c/spine. laceration to occiput. bleeding exacerbated by rivaroxaban for previous PE - controlled with application of kitchen towel roll.
Casualty appeared not to have any new neurological symptoms/motor deficit but difficult to assess because of Parkinson's.
scooped to vacmat on trolley and thence to Morriston.

M006

SB5857

03/09/2020

1

female

trauma

8/12 old pulled boiling water over self.

NO

01:30

01:46

NO

IN fentanyl

Additional Comments

Partial thickness burns appx 8.5% BSA with blistering, nil circumferential - Request for analgesia support.
Already had cooling to areas. wet swabs replaced and bandaging applied over arm. film already in place over chest.
Already had PO paracetamol, IN fentanyl given with good effect (10 + 5 + 5)
delay on scene waiting for crew - considered transfer in RRV but 7pm crew pre-allocated to job.
discussion with james re destination (?Cardiff accept) – d/w plastics spr on call (felt Swansea appropriate as likely need review within 12-24 hours at least if not immediate) but to discuss with burns on call coordinator. d/w burns - stated must attend UHW as nearest hospital
transfer by crew as settled and no adverse effects from fentanyl to CHw paeds ed.

M005

CB664

02/09/2020

15

female

trauma

Fall from tree - injury to L ankle

NO

00:43

01:13

NO

IN fentanyl

Additional Comments

Entonox from WAST crew. Casualty then comfortable enough to be lifted onto trolley and thence to ea.
intranasal fentanyl 75mcg followed by 25mcg iv after which it was possible to apply traction to straighten joint- blanching skin over medial malleolus then became pink and whole foot also pinker (good dp pulse throughout)

M004

CB664

02/09/2020

29

male

trauma

17d01 fallen off roof @ private address

NO

01:25

01:39

NO

fentanyl

Additional Comments

Joint response 1. wast ea 2. cb664 3. helimed57
All drugs from emrts supply
emrts escorted casualty via road to morriston

M003

CB664

14/08/2020

24

male

trauma

Playing volleyball - dislocated L shoulder

NO

01:04

01:44

YES

IV access, analgesia

Additional Comments

Ketamine analgesia/sedation to enable reduction of dislocated shoulder

M002

CB664

31/08/2020

59

male

trauma

Fall from ladder onto spike

YES

00:05

NO

Additional Comments

Stood down @ 1833. Helimed57 tasked and proceeding

M001

SB5855

03/08/2020

3

male

trauma

Fall from horse

NO

00:15

00:25

NO

Additional Comments

gravel rash to buttocks / elbow.
Crew dealing

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