Arnold Clavio
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00:29Totally unresponsive, our patient, we checked if he had a pulse, he had it, but it was almost
00:36a ready pulse, just a little pulse.
00:39The common signs here, the vehicular accident...
00:43The rescuers are on alert every day to ensure the safety of their area.
01:00In their investigation last night, they witnessed an accident, the collision of a tricycle
01:06and motorcycle, caught on CCTV.
01:28So welcome, we are here at the Naga City Central Communication Center.
01:37The Naga City Rescue, it was established in 2010, was put into operation because we identified
01:44that there is a 24-7 emergency service that is dedicated to run just in case the need
01:51arises.
01:52All the time, we monitor Bureau of Fire, PNP, medical services, and kabalikat radio groups.
02:22In Naga City, we have 16 closed-circuit televisions mounted in strategic places within Naga City.
02:29So, all in all, you will see the placement of cameras in critical areas.
02:44Part of our team that we deploy at the communication center assigned to CCTV management, they saw
02:51on the spot that there was a motorcycle with two passengers and a tricycle.
02:58Initially, they saw three victims.
03:02So after that, one of the crew went to the back to inform the team that there was a vehicle.
03:21While in route, since initially there were three of us patients, we had four.
03:37The two were split because they saw on the CCTV, the driver of the tricycle went to the
03:44right side and then the one with the motorcycle went to the left.
03:47So we divided the group into two.
03:49I went to the right side of the tricycle driver.
04:04So upon touching, when we looked at the tricycle driver, we assessed him, he was conscious.
04:11We immediately saw that he had active bleeding in the occipital area, his laceration was about
04:15three inches.
04:17So we addressed that and we asked the patient what else he was feeling.
04:21And he complained that his back was hurting, so we still assessed him.
04:47We contacted his telephone number
04:52They took our number.
05:10As we went out, we saw his spinal cord was in line with
05:14the right lower part of his back.
05:15So what we did was, to immobilize the patient, we applied the C-collar,
05:20then we let the patient stand up, because it's impractical and it will take longer if we let the patient sit first,
05:26then we let him lie down before the spine board.
05:28Because if we let the patient lie down, it will be very timely,
05:31and at the same time, it can cause additional pain to the patient because it will compress the pain.
05:37While he was standing, to maintain the inline of the spinal cord,
05:42we did a head immobilization, and at the same time, we inserted the spine board at the back.
05:47When the back of the spine board is already touched,
05:49we slowly let the patient lie down, maintaining head immobilization.
05:56In the situation of the patient, because upon touchdown, until we decide to abort the patient,
06:01is continuously assessing the level of consciousness of the patient,
06:04we could consider stay and play because there is no life-threatening situation that the C-constitution exhibits.
06:09Upon loading the patient to the ambulance, we transferred him to the other patient.
06:15On the other side, we have two patients, the driver and the back-rider of the patient.
06:20First, we assessed the woman, because when we arrived, the man told us that the woman is with him.
06:25He said that his mouth is painful.
06:28Inspecting the oral cavity of the patient, we did not see the part of the teeth that chipped off.
06:33So, considering those types of injuries, it's minor and nevertheless, it's no longer life-threatening.
06:41So, after we treated the second and third patient, the Bureau of Fire also arrived.
06:46So, we endorsed what we assessed to the female patient, which is the back-rider.
06:52We endorsed it to the crew of EMS and BFP.
06:55Then, they brought it.
07:04Thank you.
07:09After we loaded the patient to the ambulance, we did a secondary assessment on the patient.
07:15We asked if there are any other injuries or other feelings that are different from his physical condition.
07:25The patient complained about the pain on his back.
07:39After we endorsed the patient to the hospital, we did a vital signs assessment and a head-to-toe assessment on the patient.
07:50Then, we left the hospital. The patient was okay. We were able to talk to him.
07:59Based on the investigation, the at-fault is the tri-mobile.
08:03Because he did not give a hand signal or a light signal that he was suddenly turned around.
08:10Then, in the motorcycle, there is a contributory negligence
08:14because he was driving as a holder of a student driver's license.
08:19It would have been prohibited if your passenger is not a holder of a professional driver's license.
08:25The proximate cause came from the tri-mobile.
08:28The driver of the motorcycle has the right to file a complaint
08:33in the case of reckless imprudence resulting to physical injury and damage to property if they do not fix it.
08:41If they are able to settle this,
08:43it will result in fixing the damages and the medical expenses.
09:02Our patient is totally unresponsive.
09:04We checked if he has a pulse. He has a pulse but it is almost a ready pulse.
09:11An old man was found dead in Maharlika Highway, Sanaga City.
09:15He was badly injured.
09:17His limbs were broken.
09:19Will he be able to be saved before his blood runs out?
09:30Around 6.50 in the morning, October 30, 2012,
09:38an unknown man was run over by a car
09:43while he was running on the road leading to Maharlika Highway towards Pilica Marine Resort.
09:5510 minutes before 7, our bell rang.
09:58Initial information was that there was an adult male patient
10:03lying flat on the floor, unconscious and with severe bleeding.
10:16When we arrived, the patient was lying down.
10:19His hands and feet were a bit twisted.
10:22Upon checking the patient's responsiveness,
10:25he did not react.
10:27Our patient is totally unresponsive.
10:30We checked if he has a pulse. He has a pulse but it is almost a ready pulse.
10:38He has a laceration in the parietal area.
10:42The bleeding is severe.
10:44When we touched down, we were still far away.
10:46While approaching the patient, the length of blood that traveled from the head of the patient is about 1 meter.
10:51We suspect that the blood loss is about 100 to 200 ml.
10:56That is what we need to address.
10:58If the bleeding is not addressed,
11:00the patient may develop to cardiac arrest because of hyperbulimia.
11:05Initially, we placed a C-collar because he was unconscious.
11:09Just to make sure that we do not aggravate the patient's case,
11:12we took the exact location of the bleeding.
11:16We applied pressure bandage to control the bleeding.
11:21We suspect that the injury to his legs is a fracture.
11:27But we can never tell unless the patient has an X-ray.
11:30Because it was considered a close fracture.
11:33We considered the load and go decision.
11:36Because observing the vital signs that the patient is showing,
11:40his status deteriorates.
11:42The initial first aid that is very critical to him,
11:45for example, the fractures, that is what we addressed.
11:48Because especially considering,
11:50it only takes us about 10 minutes from the site up to the hospital.
11:55So we will lessen the burden of the treatment given.
11:58And then afterwards,
12:00his other injuries, the fractures,
12:03we applied traction splinting to his lungs
12:06because he has a deformity in the upper leg.
12:09Then he has a deformity on the other side, in the lower leg.
12:12So we did the splinting, but in a way that we did it rapidly.
12:16Because we are more focused on his condition, his pulse,
12:19it gradually deteriorates.
12:21We were a bit worried about transferring the patient to the spine board
12:25because we have injuries on both sides of the patient.
12:28So we have to consider which is the lesser injury of the patient
12:31so that we can turn the patient on that side.
12:33Because it's a big no-no too, where there is an injury, we turn there.
12:36But if in the case that there are injuries on both sides,
12:38we should consider the lesser injury, where we turn the patient.
12:43When we put him in the ambulance,
12:45the patient still had a pulse.
12:47But when we put him in our ambulance,
12:51I saw that the patient already had agonal breathing.
12:54Until totally, the patient became bradypneic.
12:57So we have to induce the resuscitation using the vagval mask
13:00to support the patient's breathing, so that the heart won't totally collapse.
13:06The pupil of a person, within normal, is 2 to 3 millimeters.
13:10When it reaches 7 or at most 10, which we consider as fully dilated,
13:15it means that the oxygen supply in the brain is a bit less.
13:20So when that happens, that's what we call irreversible brain damage.
13:33In the case of our patient, he is unconscious,
13:36so we're suspecting that his muscle control is already weak,
13:39especially that he has bleeding.
13:40So there's a big possibility that his tongue, because of relaxation, will fall back.
13:45So when that happens, our area will be obstructed.
13:48So we have to do intubation on the patient.
13:52We helped to revive the patient, but unfortunately, he didn't make it.
13:57But in the long run, after all the efforts of us at Naga City Rescue,
14:02together with the efforts of DBMCR,
14:04there are times when we have to accept that no matter what we do,
14:07there are times when we can't save him.
14:15As of now, we haven't identified the victim yet.
14:20Based on the driver, he admitted that he was in a deep state.
14:25That's why that incident happened.
14:28We are waiting for anyone who can identify the victim.
14:34He is currently in a hospital in Cristo Funeral Homes, Naga City.
14:39Once the relatives can identify the victim,
14:45they can file a reckless intrudence resulting to homicide.
14:50The most common kinds here are vehicular accidents.
14:59The number of accidents in the second district of Camarines Sur
15:03reached 519 in the past year.
15:07According to the DPWH, this is the largest number of accidents in the past year.
15:13According to the DPWH, this is the largest number of accidents in the past year.
15:17According to the DPWH, this is the largest number of accidents in the past year.
15:24This is also the largest number of deaths in accidents.
15:30What are the causes of these accidents?
15:32And how can we avoid this kind of danger?
15:43Usually, we encounter vehicular accidents,
15:48trauma emergencies, including medical emergencies.
15:55The most common kind here is vehicular accidents.
15:58It averages 1.33 every day.
16:01It means that on a day-to-day basis,
16:04we have an accident on the road.
16:09Based on the statistics,
16:11the city government has taken proactive measures
16:14to avoid or lessen the incidence of vehicular emergencies.
16:20On a day-to-day basis, we have traffic enforcers at the crossings
16:26to manage the traffic,
16:27including the PNP,
16:30force multipliers, and barangay tunnels.
16:33At night, the PNP conducts a checkpoint.
16:37At the checkpoint,
16:39the drunk drivers who are overspeeding are controlled.
16:43This is the cause of the accidents.
16:54This is the provincial road leading to some coastal towns of Colombia.
17:00Most of the accidents here happen at night.
17:03Most of the minor reasons are that the motorists are in a rush,
17:08and some of them are drunk.
17:11If you look closely, it's not that dangerous.
17:19The road is clearly visible.
17:21They should be careful.
17:22You can see the traffic markings because there's a post.
17:27They should be familiar with the road.
17:29They should have confidence in themselves.
17:33They should know how to behave.
17:36They should be overconfident.
17:45This is a city road.
17:47There are also people who use this road to go to Marley Highway.
17:51This can also be an access road.
17:53This can also be an access road if you don't want to be trapped in traffic on the city streets.
17:59You can go to the upland barangays of Naga City.
18:07Most of the motorists are here.
18:09The cars are rare.
18:11Although the road is small,
18:13you can see that they are familiar with the traffic signs and traffic markings.
18:17The curve is a factor.
18:22But if the motorists observe the right discipline and follow the traffic rules,
18:29it can be minimized if there are no accidents.
18:34Most of the motorists here are drunk.
18:36It's always like that at night.
18:42There are more accidents due to human error.
18:47The mental conditioning of the motorists should be adjusted.
18:53They should not be too aggressive on the road.
18:57The mechanical skills should be minimized.
18:59Before the car leaves the garage,
19:03they should have checked everything.
19:05So that the driver's mind and eyes are focused on the road.
19:14You should be able to sleep in a safe place.
19:19You should not be dishonest to yourself.
19:22Even if you can't drive anymore,
19:24even if you're sleepy,
19:26you should still be able to sleep.
19:28For example, if the road is dark,
19:30you should slow down to the right speed.
19:33You should not be dishonest to yourself.
19:36You should be able to sleep in a safe place.
19:40You should slow down to the right speed.
19:42You should not be dishonest to yourself.
19:45If you can't see, it's not clear to you,
19:47there's a blinded curve or it's not bright enough,
19:50you should immediately adopt precautionary measures.
19:54If we always adopt defensive driving,
19:56so that we can be courteous to our fellow motorists,
20:00considerate, and have a little patience,
20:03our road network will be better.
20:10Rescue teams in the province and around the country,
20:13if you have a rescue operation,
20:16please send it to our email address,
20:19rescue.gmanetwork.com.
20:22Until next Thursday, I'm Arnold Gavrio,
20:25here at Rescue, we believe that anyone can help.
20:31A motorcycle with two passengers and a tricycle hit us.
20:38It didn't give a hand signal or a light signal,
20:42but it suddenly turned around.
20:46Our patient is totally unresponsive.
20:48We checked if he has a pulse, he has,
20:50but it's almost a ready pulse, just a little pulse.
21:07Rescue.Gmanetwork.com