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June 2008, Volume 38 Number 6 , p 72 - 72


  • Michael W. Day RN, CCRN, MSN


Day, Michael W. RN, CCRN, MSN

Issue: Volume 38(6), June 2008, p 72 Publication Type: [Feature: ACTION STAT] Publisher: © 2008 Lippincott Williams & Wilkins, Inc. Institution(s): Trauma Nurse-Coordinator Sacred Heart Medical Center • Spokane, Wash.

YOU'RE TAKING AN EARLY-MORNING bicycle ride on a paved bike trail when you come across an older man lying in the middle of the trail under his fallen bicycle. You stop, dismount, and remove the bicycle from on top of the man, who's cradling his left elbow with his right hand and complaining of left midupper arm pain. You identify yourself as a nurse and obtain his permission to help him. When you examine his left upper arm, you see swelling midshaft and some deformity.

What's the situation?

The cyclist, Jim, tells you he swerved and crashed when he tried to avoid a deer that jumped in front of him. He's been lyingon ...

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