A 16 year old girl was riding her dirt bike when her friends saw her head into a ditch. The girl then hit a rock at the bottom and the bike came to a quick stop. Unfortunately, she did not come to a quick stop for about a half second more when her face hit another rock.
Thankfully she had been wearing her protective equipment. Although the force of the impact did crack her chest piece and her helmet. Her face took quite a pounding.
She had an inch and a half gash on the right side of her jaw. Her jaw had probably been fractured. She had knocked four of her teeth almost all the way out and had bit her tongue, all of which caused significant bleeding, not to mention pain.
We placed her in a cervical collar and checked the rest of her out. We decided, because of the amount of bleeding in her mouth, that placing her on a backboard would lead to a possible airway compromise so we decided to c-spine her on a KED. Not a common use but it served our purposes.
Once that was done I started a line on her and gave her some morphine. By the time that AMR was ready to load her up she was packaged and almost pain free.
Just imagine how bad it would have been without the helmet.