July 15, 2021

The Scene:

Patient pinned beneath 300 ton crane. Both lower extremities crushed under collapsed cab, patient in prone position.

The Patient:

48 Year old male, pinned under 300 ton crane. AAOx3, GCS 15, minimal bleeding.

Surgical Extraction Team:

Response & Deployment of Resources

FAST Teams:

Scene Stabilization-

• Cut away parts of the cab to improve access to patient

• Requested additional crane be brought in to lift toppled crane

• Requested multiple fire departments for additional cribbing and extrication materials

• Tried numerous methods to lift weight

Fire Department: used cribbing to stabilize crane and flat bed, padding was placed around patient.

Paramedic Unit: Established IV NS & TKO. Initial dosage of pain medication given, provided supportive care & cooling packs to patient.

Flight Crew: Air evacuation arrived on scene, administered to patient, continued dosage of pain medications, assisted surgeon.

Surgeon: on scene, prepped & preformed onsite amputation. Patient Extricated and prepped for transport to OU medical center.

Patient Follow up:

Patient was formalized and extubated the same day.