first on scene of accident did I do all I could have?

Nurses General Nursing

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Hi,

I am new here and a student nurse. I would like some input to a situation I was in yesterday. I saw a young man get hit by a van as he was running across the street. It was horrible. He flew up into the air and landed on his head.

I was right behind the woman who hit him. I was the first person at the scene. I need someone to tell me I did all I could to help the young man. I checked to see if he was breathing by putting my hand under his nose and mouth. He was so twisted I could not check the way you are supposed to. He seemed to be breathing, it was shallow but he was able to blow blood onto my hand. He was unconscious. I checked for his pulse and it was rapid, but he had a pulse. He had blood pouring out of his nose and ear and I believe his mouth also. Someone came up and asked me if I knew CPR. I told her I did, but he did not need it because he had a pulse and seemed to be breathing. I sat with him and put my hand on his shoulder and told him EMS was on their way. The EMS were there within 2 mins.

There was an enourmous amount of blood under his head. When the EMS got there they rolled him onto his back and placed a plastic tube in his mouth and throat..i do not know what it is called. They did not bag him or start any kind of emergency breathing nor compressions. So I believe he was breathing, just blood in his throat. What do you do if someone stops breathing but has blood pouring, not trickling, out of nose and mouth?

I was calm and did not panic, but I was so scared. Today I just feel weird. Did I do all I could have done? Since the emt's did not start rescue breathing does that mean he did not need it?

((((((robbin)))))) honey, you did all you could do. if it was my loved one, i would've been glad you were there to comfort him.

((((((((Robbin))))))))))))))))))))

Specializes in ER, ICU, Corrections.

It sounds like you did the right thing.....you did the basics of first aid and you made sure that he was breathing when you gave him over to the EMT's. Unfortunately he died and that will happen from time to time....MVA's are very harrowing and scary for the driver and anyone that stops to help. I have been the first one to the scene of accidents in the past and it is very intense. Then you get home and wonder if you did the right thing. :p

You did all you could do. There is nothing more you could have done for this injured person other than assess for breathing and pulse. You must believe all the posters here that you did everything right and nothing wrong. You were calm and you probably helped to calm this individual. You need to be very proud of yourself and do not keep second guessing yourself. You did great. Bless you.

Try to sleep well. You did all you could. You weren't the one that hit him. You did your ABC's and you could do no more in the field without the proper equipment.

Specializes in MS Home Health.

Robbin yo did all you could do. Pat yourself on the back for being there and helping.......

Robbin, you did great! You helped the young man by keeping any other folks from trying to "help" him by starting CPR!

I would suggest that you carry a plastic mouth shield for your personal use if the occasion should ever arrive that you might have to perform CPR. In the event of blood on or about the mouth oropharynx, it will protect you. If there is a lot of blood, try to wipe it away (same for emesis), place the shield, and begin CPR.

It sounds to me as though you were one cool cookie!:saint: :nurse:

Robin,

You did good!

Sometimes the best we can do in this type of situation is monitor and wait for help.

Be glad you were there.

-Russell

Robin,

What everyone said is true, you did everything you could until EMS arrived. I'm an EMT-Cardiac Tech in VA and what may be helpful if you are doubtful anymore (you shouldn't be) is to go and talk to the squad who picked him up and discuss the case with them. Also you might think about becoming an EMT, it helps tremendously with nursing, it brings a whole new light to your eyes about emergency medicine and how to treat patients better in the field and in the hospital. You did good not to move him to compromise his C-spine and maintaing his airway the best that you could without and suction or airway equipment like ET tube's and such.

David - EMT-CT

Originally posted by Robbin M

I am having flashbacks.

You may have a difficult time until you are able to encompass this experience. It may take a day, it may take a week, it may take longer.

Remember: you did the right thing. You could have done nothing more.

It's important to talk about what happened to you and how you felt and feel FOR AS LONG AS YOU NEED TO.

Make sure you get enough sleep. Listen to cheerful music. Get some exercise. Talk to a friend/relative who loves you.

Originally posted by Robbin M

Hi,

but I was so scared. Today I just feel weird. Did I do all I could have done?

Robin M, How are you these days? You have been in my thoughts, I am sending you a hug.

ursula, thanks for asking about me. I am doing better. It took about two weeks to stop reliving the accident over and over. I still over protective of my kids just amazed how fast this young man's life was taken away.

I am doing better. thanks you for thinking about me.

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