00:00Emergency Department, Trauma Bay Time, 14.20, Staff, Dr. Elena Cruz, Trauma Lead, Dr. Ravi Singh, Emergency Medicine, Nurse Torres, Nurse Lynn, Respiratory Therapist Patel, Trauma Bay, Day Nurse Torres, Secures Captain America to a stretcher, with a cervical collar and chest straps.
00:25Dr. Cruz, Calling Out, Airway Clear, Maintain C-Spine Precautions, Prepare High Flow O2, Respiratory Therapist Patel, Applies Non-Rebreather Mask at 15 LL Aminyal, Dr. Singh, Auscultating, Diminished Breath Sounds Over Left Hemothorax, Dr. Cruz, Start 2 18G IVs, Begin Infusion of 1L Normal,
00:54Celine Bolas, Draw Blood for CBC, BMP, Coagulation Panel, Type and Screen, Nurse Lynn Labels Tubes and Sends to Lab, Dr. Cruz, Portable Chest X-Ray, En Route, Notify Radiology, Radiology, CT Suite Time, 14.50, Staff, Dr. Maya Chen, Radiologist, CT Technologist Rossi, Nurse Torres CT Suite,
01:23Continuous Nurse, Torres Transfers Captain America Carefully Onto CT Gantry Table, Maintains Immobilization, CT Technologist Rossi, Administers 100-Emily Knorr Iodinated Contrast, Via Power Injector, Dr. Chen, Over Console, Performing Non-Contrast Head CT First,
01:46Then Chest, Then Chest, Then Chest Abdomen Pelvis with Contrast, Monitor, Display, CT Chest, Left Pulmonary, Contusion with Small Pneumothorax, No Active Extravasation, Dr. Chen, Findings Relayed to ED, Recommend Chest Tube Insertion, Procedure, Room, Ultrasound Guidance Time, 15.10, Staff, Dr. Ravi Singh,
02:16Scrub Tech, Morales, Ultrasound Room, Moments Later, Sonographer Lee Scans Left Chest in Real Time, Dr. Singh, Identify Plural Line, Locate, Pneumothorax Margin, Nurse Lynn Hands Sterile Drape, Scrub Tech Morales, Ready's 14F Chest Tube Tray, Dr. Singh, Under U.S. Guidance, Advance Needle into Plural Space, Aspirate Air,
02:46Guide Chest Tube Insertion at 5th Intercostal Space, Nurse Lynn Connects Tube to Underwater Seal Drainage, Confirms Brisk Air Release, Imaging, MRI Suite Time, 16R, Staff, Dr. Leah Johnson, Neuroradiologist, MRI Tech, Nakamura, Nurse Torres, MRI Suite, Later, Nurse Torres Positions, Captain America Supine with Foam Head Support,
03:16Auditory Protection in Place, MRI Tech, Nakamura, Running Brain and Cervical Spine Protocols, T1, T2, Flare and Diffusion Weighted Sequences, Dr. Johnson, Viewing Images, Small Right Temporal Micro Hemorrhages,
03:35Cervical Spine Intact, No Ligamentous Injury, Report to Neurosurgery, Intensive Care Unit, Post Diagnostic Time, 17R15, Staff, Dr. Elena Cruz, Dr. Ravi Singh, ICU Nurse Patel, Respiratory Therapist, Patel N.T.,
03:57ICU Room, Evening, ICU Nurse Patel, Monitors Vitals, BP 12580 Flowis, Aft, HR, 88 BPM, SpO2, 97% on 2L, Nasal Cannula, Dr. Cruz, Chest Tube Functioning, Minimal Drainage, Continue Analgesia with IV Morphine, PCA, DVT Prophylaxis and Serial Chest X-Rays every 12 Hours, Dr. Singh,
04:27Neurochex Q1H, Maintain Head of Bed at 30D Grill, Respiratory Therapist Patel, Weaning from High Flow to Nasal Cannula Initiated, Dr. Cruz to Team, Diagnostics Complete, Plan Chest Tube Removal when CXR Confirms Resolution, Prepare Physiotherapy,
04:49Captain America stabilised after comprehensive imaging, CT, ultrasound, MRI and intervention, admitted to ICU for ongoing care and recovery.
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