Mr Chase Hunter is a 31year-old male who was rock-climbing with two friends at a national park when he suddenly lost his footing and slid approx. 6 metres to the ground. Both friends who witnessed the fall said that he slid against sharp rock all of the way down, landing almost in a standing-up position, finally slumping to the ground. They also said that his head was not jarred during the slide. Mr Hunter was alert and oriented when his friends reached him, and could move all four extremities quite easily. Mr Hunter had multiple scrapes over his anterior torso and a large gash over his right anterior upper thigh (near the groin) which was bleeding profusely. A makeshift tourniquet slowed the bleeding. The party was able to radio to the park ranger’s station for help. The ranger, in turn, contacted the “med-evac” unit at the city hospital. The helicopter located and evacuated the man. A large-bore IV was placed in each arm in-flight, and normal saline fluid was administered intravenously. The client became increasingly disoriented during the flight, reaching the hospital about 40 minutes after the fall.
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