probablyb @itsprobably_b

probablybrooke.substack.com Georgia, USA Joined November 2024

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Dan Hightower @Danhightower

4 months ago

Daycare calls me. That's never good. For them. Daycare: "your son hurt his elbow and won't move his arm. Can you come take him to a doctor's office?" Me (ex Special Forces Medic): "A real doctor is on the way to you now. I am 6 mikes out. Alert me of status changes." I arrive at daycare. I locate the patient. 21 month old male. Scene is not safe. I drag the patient to cover and concealment behind a seesaw, away from the other small terrorists in the AO. I begin my assessment. Blood sweep negative for massive hemorrhage. Mental status: conscious and verbal but confused (answers "dada" when asked for blood type). One breath every 2 seconds. Bilateral rise and fall of the chest. Strong carotid pulse, strong bilat radial pulse. Teeth and tongue intact no blood no mucus no dip or foreign objects. Eyes PERRLA, negative JVD/trach deviation, C-spine intact upon palpation. Heart sounds strong upon auscultation. Percussion negative for hemo-T. Abdominal quads normal upon palpation. Pelvis negative for book sign. Arms and legs negative for crepitus. However, Patient indicates discomfort in right arm upon palpation and supination/flexion of the elbow. Nursemaid's elbow. I begin interventions. Supination/flexion technique complete at 1215. Palpable clunk on successful reduction. I write the time on his chest in Sharpie. I tape a popsicle to his hand and tell the patient to suck but do not bite/chew. I write "1 x popsicle (10g sugar)" on his chest in Sharpie. I reassess the patient after performing interventions then package the patient for handoff to daycare/higher level of care. I yell at daycare over the Blackhawk in my head: "21 month old male!!! Nursemaids elbow!!! Treated with supination/flexion technique at 1215!!! Patient has 1 x popsicle onboard!!" Daycare: "sir please leave." Me: "you should have called my wife."