c collar

modern dead poets  steven k c meeks jr

wearing collared shirts about 80% of the time, taking radios and phones and shit apart and putting it back together just for kicks, trick taking card games, the thunderbirds, mystery science theater 3000, fountain pens, small versions of big things, big versions of small things, lemonade, jokes with absurdly long setups and cleverly constructed punchlines

Men reading in illustration for Arrow Collar advertisement. J. C. Leyendecker (American, 1874-1951).

The Arrow Collar ads were a collaborative production of New York ad agency Calkins and Holden; Cluett, Peabody advertising director Charles Connolly; and commercial illustrator Leyendecker. Leyendecker’s model was his live-in companion, a Canadian named Charles Beach. Good-looking fellow, clear-eyed and dignified, Leyendecker’s nattily dressed gentleman quickly became the symbol of the modern American man.

Rapid Primary Survey

When it comes to primary surveys in trauma situations, my skills will never be to the same standard as the emergentologist. However, in those times when I have had to do it, this checklist has worked for me. I am missing a few points that probably could be included for comprehensiveness but in general it covers all the necessary points.

AIRWAY

  • Secure.
  • Suspect cervical injury? C-spine collar.
  • Talking. Breathing.
  • Head tilt/jaw thrust > Airway > Endotracheal tube.

BREATHING

  • Look: Tracheal midline. Mental status. Color. Respiratory rate. Work of breathing.
  • Listen: Breath sounds. Obstruction? Symmetry?
  • Feel: Trachea. Chest crepitus. Deformity.

CIRCULATION

  • Level of consciousness. Heart sounds. Blood pressure. Heart rate/respiratory rate. Cool extremities. Urine output.
  • Abdominal pain.
  • ABC. Maintain pressure. 2 large bore IV. Transfuse if severe.

DISABILITY/DEFORMITY

  • GCS. Neurovascular status. Squeeze pelvis. Check long bones. Look for the blood. 

FAST (Focused Assessment Sonography in Trauma)