In this simulation, Mayo Clinic Health System staff in Cannon Falls, Minnesota, evaluates a patient upon ambulance arrival after ejection from his snowmobile. Local staff uses video telemedicine to consult with a Mayo Clinic emergency medicine physician on-screen from Rochester, Minnesota. The trauma evaluation walks through the initial patient evaluation through decision to discharge locally.
Yeah. Mhm. You know. Yeah. Yeah, yeah. Hi. I'm Laura. I'll be taking care of you today. This is Mr Gregory. He's a 41 year old gentleman who just arrived via ambulance after having been ejected from his snowmobile. All vital signs have been stable en route. Mr. Gregory, can you tell me what happened? I've read my snowmobile. Hit a bump and got ejected. Do you know how fast you were going? Probably 30. Okay. Were you wearing a helmet? Yes. Wonderful. Did you lose consciousness? No. Are you in any pain? My left breast That. Can you give me a number 1 to 10? To me, the most pain you can imagine. Seven. Okay, well, a couple of things are gonna be happening. We're taking your vital signs right now, and then we'll get you something for your pain. Okay. Has your family been notified? No. Okay, we'll get a phone in here. That way, we can do that for you. Okay. Wonderful. Your vital signs look good. Um, he does meet level yellow trauma criteria. Do you mind paging the overhead activation and bringing in the ultrasound? Okay. And do you mind bringing in a telemedicine cart connected with emergency medicine in Rochester. I'll do that. Thank you. Hi, Melanie. I'm calling from the emergency department in Cannon Falls. We have a yellow trauma patient that we need a video Emergency medicine consult. All right. I'm just going to confirm your location that you're in Cannon Falls. Correct? All right. I'm going to connect you up with the Tele Emergency Medicine physician, please. Hello. This is Dr Sanga. Dr Sandra, It's Melanie from the eighties. I have the tele emergency need for Tori from Cannon Falls. Hi. This is Dr Sanga, an emergency medicine in Rochester. How can I help you? Dr Sandra? I'm calling A We have a 41 year old male yellow trauma in the emergency department in Cannon Falls. And we could really use your help. I'll connect via telemedicine right now. You have a device in the room. We do. Great. I can see you now. Okay. Thank you. Hello. I'm Dr Sanja. Emergency Medicine in Rochester. Would you please introduce your team? Hi, Dr Sanga. I'm Laura and I have nurses Tori and Lisa here with me. Mr. Gregory is our patient. He's a 41 year old male brought in by E. MS after being ejected from his snowmobile. Traveling roughly 30, mph, we have him leveled as a yellow and his vitals are stable. We were about to start our primary assessment. Okay. Please continue. Open your mouth for me. Mhm. All right. Airway is intact. Mm hmm. Yeah. Mhm. Yes. Bilateral breath sounds. Yeah. Left radial pulse is strong. Squeeze my fingers with all your toes. Wonderful. GCS is 15. Primary assessments complete and negative head is a traumatic. Peoples are equal round and reactive to light. Any pain here? No. What? Over here. On the left side, on the left side. Okay, so chest and abdomen is free from abrasion and laceration. He does have some left sided chest tenderness. You need belly pain? No. Your pelvis no, and pelvis is stable to rock. Any pain here? Just in the rest. In your wrist. Okay. Can you move your left arm for me? Wonderful left upper extremity does not have any gross deformity, laceration or abrasion. Full range of motion. But it does have tenderness in the left wrist. We'll do the same thing on this other side. So to summarize. We have a 41 year old male level yellow four for ejection from a snowmobile. Stable, Vital signs. Primary survey has been unremarkable. Secondary survey only notable for left wrist and left chest wall. Tenderness that. Correct? Correct. Okay. Can you do a fast exam? I can, and I have the ultrasound right here. If you plug it into the telemedicine device, I could see your images directly on my screen. Yeah. All right. There's the kidney. Kidney. I'm not seeing any free fluid. Uh, okay. Looks good. Same thing on this side. Mhm. There's kidney. Yeah. Super pubic fuel. Mhm. Negative. Good. And then subs I void. Mhm. This might be a little uncomfortable. Okay. Okay. Yeah, yeah, yeah. Mhm. What? Mhm. Yeah. Are you satisfied with that view? Maybe if you just increase the depth just a bit. Yeah. There we go. Great. Also negative. I agree. So that's negative. Fast. What's his vitals looking like? Right now, we have 1 13/73 heart rate of 56. 16 are his respirations. And he is 94% on room air since the fastest negative and his vitals have been stable. His exam is good, I think. And keep him there for imaging. We'll do so we'll call you if anything changes. Excellent. Thank you. Thank you. Mhm. Mhm, right? Yeah.