AGE: 20
YEARS
REASON WHY YOU WERE DISPATCHED:mvc/ roll over
COMPLAINT:
left facial swelling, concussion
SUBJECTIVE:pt was standing next to car on arrival. pt stated he does not remember accident or getting out of the car. pt was wearing seatbelt and airbags did deploy. pt also complained of a headache and nausea.
OBJECTIVE:
a.o.s to find pt standing next to roll overed car. assisted pt to the med unit. noticed left side facial swelling. performed rapid trauma assessment on pt. found left side facial swelling. checked and found no crepidus. pt aox3. on the ride to the hospital pt started to become sleepy. pupils were pearrl. pt has no medical history, nkda, takes no medications. transported to closes ER.
TREATMENT:took pts vitals.
CHANGES:
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