first on scene of accident did I do all I could have? - page 2

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... Read More

  1. by   Cherry Soda
  2. by   psychonurse
    It sounds like you did the right 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.
  3. by   maizey
    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.
  4. by   rnoflabor2000
    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.
  5. by   renerian
    Robbin yo did all you could do. Pat yourself on the back for being there and helping.......
  6. by   Cathy Wilson, RN
    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!
  7. by   Rustyhammer
    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.
  8. by   LPN & EMT-CT
    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
  9. by   researchrabbit
    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.
  10. by   monkijr
    Originally posted by Robbin M

    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.:angel2:
  11. by   Robbin M
    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.
  12. by   Cathy Wilson, RN
    Robbin, you may have those flashbacks for the rest of your life. With more education and experience, your perspective may change. Instead of being the frightening event that occurred recently, with time and experience, your perspective will allow you to remember the event confident in the fact that although it was awful, you were the ONLY person on the scene who was able to help that man and provide comfort until EMS got there. Liek Russell said, sometimes the best thing you can do is nothing, and prevent anyone else from doing anything that might cause injury. Always remember the phrase from the Hippocratic oath for Physicians, "first, do no harm." That applies to yourself, as well as any patient.

    LPN & EMT CT gave you very good advice, too. First Responder or EMT training will be invaluable to you. Always remember to survey the scene of an accident, whether it is indoors or out. Be sure there are no noxious odors (or absence of, such as CO), live electricity, gasoline spill, etc. Until the scene is secure, it may be fatal to you to try to render aid. Sometimes, all you can do is stand back, call 911, tell the operator what you see or smell, and that the power company, gas company, police, etc. will be needed to secure the scene.

    Best of luck to you. We are here, anytime!
    Last edit by Cathy Wilson, RN on Aug 28, '02
  13. by   Dave ARNP

    I would like to congratulate you on your performance!
    Considering your training, you went above and beyond the call of duty!

    With the quick arrival of EMS, and assumably a transfer to a tramua center, this patient would have faired no better, even if someone else had arrived on the scene.

    The two minutes that you had, wouldn't have allowed much time for interventions. Considering that the pt. was breathing, CPR was not indicated, and just you stopping; stopped somone with lesser training from possibly seeing the seriousness of the injuries and automatically beginning CPR, which could have caused un-due harm.

    I am sure you provided great comfort to him in the time that you were with him. As a Nurse Practitioner, I commend you on your performance!

    Now, take the time to make sure that you are OK with the events. Talk to your NSG instructors about what happened, and possibly speak to speak to one of them about the impact that it has had on you.

    Perhaps speaking to your Primary Care Provider about some coping skills for the flash-backs would help.

    You truely did a wonderful job!

    David Bass
    -ACNP, FNP