Cervical Cord · NREMT EMT-B · Head-to-Toe Included
📻 Dispatch
19-year-old male at Lakeview Aquatic Center — dove into the shallow end, struck head on pool bottom. Lifeguard pulled him from the water. Patient is conscious on pool deck, cannot move his legs. Complains of severe neck pain and tingling in both hands. Lifeguard maintaining C-spine. Full extent of injuries unknown.
Patient
19M
Mechanism
DIVING AXIAL
Neuro
LE: ABSENT
C/C
NECK PAIN
⚕ NREMT PROTOCOL — 8 Phases: Scene Size-Up → Primary Survey → SAMPLE History → Baseline Vitals → Head-to-Toe Secondary Survey → Neurological Exam → Immobilization → Transport & Handoff.
⚠ NEUROGENIC SHOCK: Bradycardia + hypotension in trauma = spinal cord injury. NOT hemorrhagic shock. Warm skin, no major hemorrhage. Distinguish correctly — treatment differs.
00:00
TIME
HR
58
SpO₂
96%
BP
88/52
RR
18
Score
0/S
0/A
100/T
Vitals — Live
WORKING DIAGNOSIS
UNKNOWN — ASSESS
Axial loading mechanism
Lower extremity paralysis
Sensory deficit level
Midline C-spine tenderness
Neurogenic shock pattern
00:00
SCENE TIME
Heart Rate (bpm)
58
▼ Bradycardia — KEY SIGN
SpO2 (%)
96
— Adequate
Blood Pressure
88/52
▼ Hypotension
Resp Rate (/min)
18
— Normal
NEURO / PHYSICAL EXAM
UE motor?? ASSESS
LE motorNONE — LG RPT
UE sensation?? ASSESS
C-spine midline?? ASSESS
Pupils?? ASSESS
Chest / lungs?? ASSESS
Abdomen?? ASSESS
Pelvis?? ASSESS
SCORE
Safety0
Assessment0
Protocol0
Time100
PATIENT STATUS
SERIOUS — SPINAL INJURY
┌──────────────────────────────────────────┐
│ LAKEVIEW AQUATIC CENTER — POOL DECK │
│ Patient supine on wet concrete │
│ Lifeguard at head maintaining C-spine │
│ Pool shallow end 3.5 ft depth │
│ Other swimmers cleared from area │
└──────────────────────────────────────────┘