Road traffic accident, light vehicle against plane tree, frontal impact, high speed (the patient who was the passenger was found in the driver's seat), release time: 1 hr 30, acute alcoholism and cannabis use.
. Neurological: initial loss of consciousness, patient Glasgow = 15, no sensory or motor deficit,
. Haemodynamic: blood pressure: 11/7, heart rate: 120,
. Respiratory: Oxygen saturation: 94% in room air, respiration rate 20, signs of chest trauma on skin. No right breath sounds detected during auscultation,
. Abdominal: indeterminate abdomen,
. Maxillofacial: cut to upper lip,
. Orthopedic: open fracture of right wrist, lumbar pain, fracture of the left femur, fracture of the left humerus, symmetrical pulses detected.
Transfer to university hospital for continuation of treatment.