The following scenarios describe different vehicle accidents. Please identify which patient(s) require emergent EMS transport, and which pt should have known better that there are key words that earn you a backboard and c-collar. (Drugs are not a contributing factor, and no LOC in any of the following cases.)
#1: Post-2000 4-door sedan stopped at intersection rear-ended by similar-sized at 10 mph. Minor damage to fender, car is still drivable. Belted adult-sized occupant years of age A&Ox4 with zero health history. No airbag deployment Complaints: neck pain.
#2: Post-2000 sports car going 60-70mph on highway. Unknown vehicle malfunction causes driver to lose control of car, car makes big-ass dent in guardrail before driver manages to steer car to shoulder. No air bag deployment. Front end is buggered up, but no passenger compartment damage. Middle-aged belted occupant has history of hypertension, torn and repaired ACL surgery, and currently complains of tenderness in chest area, but breathing not compromised.
#3: Post 2010 sedan-ish car traveling at 60 mph. Driver hits object that fell off another vehicle. One of the front wheel is damaged beyond a drivable state and curtain airbag deployment on same side. Belted adult yuppie occupant has sole complaint of face pain, but healthy adult yuppie w/no significant health history is pretty sure their pain is related to the curtian airbag inflating into their face.
#4: Belted occupant driving a 19-year old car loses control of said car at 60mph. Car does a lovely sideswipe of the concrete barrier, occupants bites her tongue REALLY EFFING HARD, but driver gets car to shoulder without killing herself or anyone else in the process. Car is all sorts of damage, but no passenger compartment damage. Driver complains of neck tenderness and EMS notes a fabulous tongue bruise.
Pencils out, kids!