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Reposting for a friend. Request for pictures

Hey all, This may sound a bit odd.


I'm an ER doc and do occasional education for paramedics. A recent discussion on beginner triathlete (a tri forum), revealed an accident (with a good ending) where a cyclist was wearing her Road ID ankle bracelet, had her cellphone and wallet (id/insurance) in her rear jersey pockets. She had an accident while cycling alone, a bypasser called 911 and EMS responded as usual. They stabilized her cspine, cut off her clothing to assess for injuries & set them aside, took vital signs and transported her to the hospital as a Jane Doe.


They didn't find the road ID (on her ankle) nor the wallet & phone because they didn't realize that cycling jerseys had rear pockets, and vital signs are checked for on the arm, missing the ankle bracelet.


So I'd like to put together a presentation for Pittsburgh EMS (the ones who might be picking you up if you hvae an accident) for cycling awareness and where to look for ID.


So I'm looking for any photos you may have of bicycle accidents showing blood & gore (paramedics love that stuff), especially if it shows cycling clothing cut off in an EMS response to an accident, or EMS responding to a bike accident, checking vital signs, putting a cyclist on a board and collar, etc.


I know most of you probalby aren't thinking of taking photos at a time like that, but if you got em, send em my way please if you don't mind them being used for educational purposes. Please title the email "Biking/EMS Photo".


Thanks!


Suzanne Atkinson, MD

www.steelcityendurance.com

suzanneatkinson@gmail.com


mayhew
2010-02-02 13:21:32

The organizers of the MS150 provide info kits for your name, address, allergies, ICE, etc. It goes in a tiny envelope tacked to the inside of the helmet. To let EMS know about the envelope, they also provide an "info inside helmet" sticker to put on the outside of the helmet.


I am not a fan of this method at all, since the helmet (in most cases) is not removed and used for stabilization and the such. And it's a tiny sticker that's really easy to miss.


Are you familiar with this method of carrying emergency info? What's your take on it, good or bad?


joeframbach
2010-02-02 14:01:59

Suzanne, I don't have photos for you, but might have a connection for you. There is a group out of the NOrth Hills/Butler area that does name/med ID tags that affix to the inside of the cycling helmet. Another version can be affixed to the shoelaces for runners. They were created/marketed for just this sort of scenario. But, if EMTs are not trained to look for them, well, you get the scenario you describe. I'll dig out the contact information and send it along to you.


swalfoort
2010-02-02 14:04:33

I trying to remember a time that I cycled in something other than my street clothes - and I cannot.


So, for me, and riders like me, a "wallet biopsy" suffices.


mick
2010-02-02 16:26:30

When I ended up in the ER, they cut right through the pocket in my cycling jacket (front left breast pocket). Had a bunch of semi-important paperwork in there (some of which had my name and various contacts), which was all cut up. Fortunately I was conscious, so I could tell them who I was.


I guess if I'm laying there dying, I don't want them rummaging around in my pockets to look for some paperwork before they get to the saving. So, does Dr. Atkinson have a suggestion for what we should do, so we get identified? Where would the EMS responders and ER docs look first for identification or contact information?


dwillen
2010-02-02 16:40:02

Tattoo your blood type and any life threatening allergies on your chest. That'll show 'em.


Otherwise, can't help ya Chris. I have pictures of myself in the ER all bloodied up, but nothing to fit your presentation.


bradq
2010-02-02 17:40:01

Suzanne,

I am surprised that they didn't uncover the ankle bracelet or the contents of her clothing. It sound to me like they simply didn't do a thorough job of examining the unconscious/unreliable patient. Whether or not there are "standard" places that people carry ID, sooner or later those EMS staff are going to encounter someone who is carrying ID in a non-standard place, and they have to know that they need to look in, on, under, and through everything - the clothing AND other equipment.


Of course, it's in our own interest not to make them look too hard...


dwillen, the FIRST place that information is going to be found is if you're wearing a medicalert bracelet or necklace. If you have a significant pre-existing condition, your doc should have already recommended you get one. It would be an egregious failure if a first responder didn't look for that.


lyle
2010-02-02 20:34:26

I wear Boomerang tags, I figure, barring decapitation, I should be okay for info.


ka_jun
2010-02-02 21:47:53

I wear Boomerang tags, I figure, barring decapitation, I should be okay for info.


I took the same approach with a RoadID on a neck chain. Figured hey, if I've lost my head, who cares about my bee-sting allergy or my club affiliation?


reddan
2010-02-03 01:30:13

Suzanne -


While some cyclists wear jerseys, most cyclists you'll find in the city are commuting in regular clothes along with all different kinds of bags.


If you don't end up getting enough cycling accident photos, maybe use photos of the different places cyclists would put their ID. Sometimes, the ID might be in a bag on the bike itself.


Here's a list of places a cyclist's ID might be:


- backpack, messenger bag, shoulder bag

- hip pack or fanny pack

- back pocket, coat pocket, cargo pocket on pants.

- panniers (bags that attach to the back of your bike)

- saddle bag (a small bag that fits under a bike seat)

- a bag that attaches to the frame, inside the triangle-shape of the bicycle (not sure what that kind of bag is called)

- handle bar bag or basket

- rear jersey pockets

- inside of helmet (this one is new to me)


If you need help finding pictures of any of these things, let me know!!! I'd be happy to help.


When I was hit, my wallet was in my hip-pack, which luckily was a pretty obvious place to have a wallet, even though most people don't wear hip-packs.


I have a picture of myself at the hospital, but I look like any person off the street.. you can't tell I'm a cyclist. I don't think that would be helpful (especially 'cause my hip pack isn't visible).


rachel_ding
2010-02-03 04:26:37

opps, just noticed that you're involved in a cycling group so my list is probably pretty obvious.. but anyway, if you need any help, let me know.


rachel_ding
2010-02-03 04:35:24

They say to put the ID tags on the inside of the helmet but I always thought that was a guaranteed way to have it not be found. I have one tacked on the back side of my helmet, the bright yellow plastic slipcase standing out against the white of the helmet.


Don't have any injury pictures.


kordite
2010-02-03 13:49:41

@Kordite; I've had similar thoughts about the "visibility" of ID tags inside the helmet. I like the outside the helmet approach. I may have to adopt it myself.


swalfoort
2010-02-03 14:12:22

i keep fearing that everytime i click on this people are going to post pics.


erok
2010-02-03 23:13:24