Administration and Leadership, Columns, Patient Care, Rescue & Vehicle Extrication

Low-speed, Two-car Crash Requires Pediatric Immobilization

Issue 3 and Volume 38.

St. John’s/Mercy (Mo.) EMS Paramedic Christy Biram carries a 3-year-old female pediatric patient on a pediatric backboard to a waiting ambulance at the scene of a crash that involved two vehicles colliding at a stoplight. The vehicle the pediatric patient was in was hit when another vehicle allegedly ran a red light. The girl was secured properly in a child safety seat and had been extricated from the vehicle and car seat by her mother prior to EMS arrival. Her only injuries were abrasions to her thighs and clavicles from the safety seat restraints. She had been placed in spinal mobile restriction by Springfield Fire Department prior to EMS arrival. She was transported to a Level 1 trauma center, where she was treated and released. The driver of the other car collided with one of the stoplight posts, causing the battery to fly out of the vehicle and hit a pedestrian who narrowly missed getting hit by the vehicle. The pedestrian had a minor leg injury but refused care on scene, and the driver of the vehicle that ran the light had to be extricated and was transported to an emergency department. Note the crew’s professionalism, covering the patient’s body surface with a turnout coat after exposing and assessing her lower torso.