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Transfer Report

A 41-year-old male cyclist sustained multiple rib fractures and a T1 transverse process fracture after being thrown from his bike at approximately 15-20 mph. He presented to Memorial Hospital with severe pain, particularly in the left side of his chest and right shoulder, and was treated with pain management before being transferred to Maine Medical. His condition was stable during transport, with ongoing reassessment and pain management provided en route.

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Wayne Gilbert
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61 views1 page

Transfer Report

A 41-year-old male cyclist sustained multiple rib fractures and a T1 transverse process fracture after being thrown from his bike at approximately 15-20 mph. He presented to Memorial Hospital with severe pain, particularly in the left side of his chest and right shoulder, and was treated with pain management before being transferred to Maine Medical. His condition was stable during transport, with ongoing reassessment and pain management provided en route.

Uploaded by

Wayne Gilbert
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
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Disp to memorial for a trauma transfer to Maine Medical .

RN rpeorts pt is a 41y
male who works at Cranmore bike park - Pt repoerts he was wearing a helemet and
appox speed o the mountin bike of 15-20 mph . Pt reports hiiting a stick in the
bike path causing him to be thrown from his bike . Pt states he landed supine onto
his back and felt immediate pain to his entire upper chest and back . Pt was able
to self ambulate down the hill to seek help with pt est approx time of the
accindent 10:15 am Pt had a friend in a POV drive him to Memorial Hospital. RN
reports the pt arrived diaphoretic in 10/10 pain gaurding lt side and complaining
of rt arm and shoulder pain. Imagining shows multiple rib fractrures on the left
side and t1 transverse process fx with pain caused 2ndry to rt shoulder and arm ?
nerve involmvnet. Pt has recieved dosing of MSO4 and dilaudid pta of PIFt transfer.
RN confirms cerival was cleared though imaginng but due to presenting injuries
cervical caoolar to remain in place until further trauma eval .
<P>
Chief complaint- Lt sided rib pain - Rt shoulder pain and rt arm pain raidiating to
the back .
<P>
HPI - as noted above and in chart
<P>
Assessment- Pt concious and alert to person,place,date and events. SKin pale-warm-
dry . Pupils 4mm and reactive light . Airway patent 18-20 nl speaking full
senteces.Noted equal smile and normal speech. Neg jvd- with c-collar in place. Pt
reports neg chest pain but describes as muscular tightnes left llateral around site
of multiple fractre ribs. Breath sound snoted clear bilateral with strong tidal
volume. Abd softX4 neg nauea neg vomiting. Pelvis stable with no findings to lower
extremities . Pt reports mid back pain around site of his rt scapula causing 2ndry
pain to his rt arm and shoulder . Pt denies any pain to his cervial with no noted
step off .
<P>
Rx- Pt is noted to be on a hover matt pta with a non neck collar in place. Upon EMS
introduction to the pt he reports 8/10 with RN reporting she is going to give .25
of Dilaudid to the pt prior to depature. IV in place pta rt a/c 18 . ECG shows
Sinus brady 58-64 with occassiojnal unifocal pvc. IN line cervical precautions in
place and cont throughout . RN maintained c-spine as EMS utlized hover matt device
to safely move and secure the pt to the stretcher. Enroute to Maine med pt reports
a slight increase in pain andrequested paoin mangment . As note din the flow chart
dosing of MSO4 as noted in EMTLA orders . Post Mso4 pt reports ease in pain to 5/10
with neg nausea. Ongoing care and reassessment throuhgout - Prior to arriving Maine
medical pt again reporting increase pain and adminstered 2mg IV mso4 with poisitive
effects. OA report and transfered to awaiting trauma team with no further findings
or complaints.

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