Sjostrom leaves without answering.
'Okay then.' I say to myself, not thinking too much into it. I ask the patient instead and essentially get the same information.
'Ok so you did get knocked out?' I ask the patient.
'I think so, Maybe for a minute.' he replies.
*I check his neck and head. Nothing seems out of the ordinary except for some dried blood, probably from his arm wound. He denies any pain and seems alert and oriented.*
'Ok so I want to do a quick CT scan of your head since you did get knocked unconscious. A blow hard enough to do that is more than capable of causing a bleed in your brain. I think it's unlikely but I'd really rather be safe than sorry with that. Other than that we're going to get that tourniquet off and see what kind of bleeding we're dealing with here. Once we get that under control hopefully it will be a matter of cleaning it out and stitching it up.'
*The patient agrees. I pull out a pen light to get an even closer look at the wound. I poke a prod it for a second. I see exposed muscle. This is going to require multiple layers of stitching.*
*I ask the man to move his hands and fingers. He does so. I check his feeling around the wound and below. Everything seems intact.
As a nurse finishes his vital I take a quick glance at them. Everything seems normal. I walk out of the room and over to a computer to start writing up the orders.*
Dr. Christopher Grant, DO, MPH
Associate Medical Director, Shiloh County FD (MD - 2)
Shiloh County General Hospital