A brutal incident where a woman gets hit by a truck leaves her with a multitude of injuries, most notably both of her legs bent into a position best described as "frog legs." She's in good spirits and her vitals are good, but her legs bent at that angle means that she cannot fit into our team's helicopter. How does our team get her legs back into place without causing further trauma or risking her stable vitals? Complicating factors is the extremely uneven ground because they're in a cow pasture and the risk of infection is extremely high because the team and the patient are surrounded by cow patties. There is no training for this exact scenario, so how does our team adapt and apply the training they have to this unique situation? This episode of AMPED digs in. Interested in obtaining CE credit for this episode? Visit OnlineAscend.com to learn more. Listeners can purchase individual episode credits or subscribe to the Critical Care Review Bundle and gain access to all episode CE Credits. We are joined by: Aaron Botzow, NRP, FP-C Drew Gill, BSN, RN, CEN Michael Eastman DO

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As always thanks for listening and fly safe!

Hawnwan Moy MD FACEP FAEMS

John Wilmas MD FACEP FAEMS

Nyssa Hattaway, BA, BSN, RN, CEN, CPEN, CFRN