PreHospital

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With a tingling running down your spine you hear

Mechanism	Symptoms
32yr Male Farm worker Front seat restrained passenger High speed Head on collision	Pulse 140 Resp 24 BP Unrecordable GCS 14 e4 v4 m6
Injuries	Treatment
Head Chest Lower limb	Oxygen Hard Collar IV access Analgesia

You request a Trauma call.
The patient arrives 30mins post injury and adeptly you perform your primary survey