The transport helicopter arrived at 15:10, about 30 minutes after transport was called. The nursing documentation from after the flight crew’s arrival has been reorganized into chronological order from the original document:
The flight crew record is below:
Per Dr. B’s note, time of death was called at 4:09 PM, approximately 3.5 hours after the patient’s arrival in the emergency department. Their summary of the events is below:
Dr. B made an addendum to his note the same day.
An autopsy was performed, which revealed a cause of death due to “Blunt impact injuries of neck, torso, and left leg.” They ruled the manner of death as “Accident (Operator of motor cycle involved in motor vehicle collision).”
The timeline from accident to death is below. Note that a few time points differ slightly between EMS, MD, and RN notes, but all are within a few minutes and deviations are not clinically significant.
| Time | Event | Systolic Blood Pressure | Heart Rate | Shock Index |
| 11:52 | Accident Occurs | |||
| 11:55 | 911 Call | |||
| 12:02 | EMS on scene | |||
| 12:12 | EMS Vitals | 74 | 97 | 1.3 |
| 12:17 | EMS departs | |||
| 12:24 | EMS Vitals | 112 | 109 | 1.0 |
| 12:33 | Arrive to ED garage | |||
| 12:42 | In ED bed | |||
| 12:45 | Vitals | 77 | 85 | 1.1 |
| 12:45 | 1L NS started | |||
| 12:58 | Vitals | 81 | 136 | 1.7 |
| 12:58 | Norepi started | |||
| 13:01 | Intubated | |||
| 13:03 | Vitals | 102 | 134 | 1.3 |
| 13:05 | Surgeon at bedside | |||
| 13:20 | Vitals | 71 | N/A | —– |
| 13:26 | To CT scanner | |||
| 13:32 | RBCs ordered | |||
| 14:02 | Return from CT | |||
| 14:03 | Vitals | 67 | 117 | 1.7 |
| 14:06 | Vitals | 103 | N/A | —– |
| 14:07 | 2nd liter NS started | |||
| 14:20 | RBCs arrive | |||
| 14:22 | RBCs started | |||
| 14:22 | Vitals | 92 | 136 | 1.5 |
| 14:27 | Vitals | 87 | 133 | 1.5 |
| 14:34 | Helicopter called | |||
| 14:38 | Vitals | 111 | 133 | 1.2 |
| 14:38 | RBC #2 started | |||
| 14:41 | Helicopter departs | |||
| 14:50 | Vitals | 116 | 126 | 1.1 |
| 15:03 | Helicopter lands | |||
| 15:06 | Vitals | 89 | 126 | 1.4 |
| 15:10 | Flight RN at bed | |||
| 15:25 | RBCs #2 done | |||
| 15:57 | Cardiac arrest | |||
| 16:09 | Death |
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