Question

“A man has fall from a horse and has pain in his neck. He is in a vacuum splint. He has pain in his right arm and left hip. James’ horse was riding very fast in preparation for an upcoming flat course race this weekend. His HR was 130, there is a cannula in his left ACF, he is 19-year-old, has a pelvic binder on and his GCS 7/15 on arrival. He was given Entonox, arm reduced and morphine, currently on a scoop, he was trampled, with GCS 14/15 and we have blocked him. He was not wearing a helmet and likes to trampoline in his spare time when not looking after his mum. Mr James Brown is allergic to penicillin. All this happened 20 minutes before we arrived at 11.30. The right arm had a bone sticking out of the skin.”

You stand bemused and try to think entonox with a GCS of 7, blocked what, …