While returning to the station you are rerouted to the 1600 Block of Bolleter Lane. Dispatch reports you are responding to a 2 y/o female who was reportedly run over by a riding lawnmower. You begin to prioritize responsibilities with your partner. You also put on your Personal Protective Equipment.

As you pull up in front of the home you assess the scene for safety. You witness no hazards. You and your partner grab your responder bag and pediatric immobilization equipment before approaching the house. You view some blood on the sidewalk and front porch. As you approach the home, a man comes out of the front door holding his daughter. You notice he has some blood on his clothing and he is holding a towel on the child’s left leg.

Your preliminary assessment reveals that she is awake and reacting appropriately to her father. The child is awake and crying with normal skin color. You ascertain some quick information as you begin your assessment. The patient, Teresa, is 2 years old. She wandered up behind the riding lawnmower as Dad was putting it in reverse. The mower ran over her left leg. She was knocked down but was not rendered unconscious. Her Dad immediately picked her up and ran her inside where he grabbed a towel to stop the bleeding and to call 911.

You direct your partner to stabilize the head and neck to prevent cervical spine motion. Her airway is open and she has non-labored breathing, however, she is crying. Skin color is pink. You detect no gross bleeding thru the towel. You apply Oxygen at 15LPM with a Pediatric Non-Rebreather and begin obtaining vital signs (B/P 98/60, HR 120, RR 22 and a SpO₂ of 100% on Oxygen.), a focused history and physical exam. Your assessment is completely normal except for her Left Lower Extremity.

Upon removing the towel you see a large laceration to the knee area with bone being visible. You also see a large laceration thru the calf muscle. You are able to palpate a pedal pulse and Teresa will “wiggle” her toes upon request. With the help of your partner and the patient’s father you gently lay her on the porch. You quickly bandage, dress and splint the Left Lower Extremity. You reassess and are still able to palpate pedal pulses after bandaging and splint application. You and your partner quickly apply a cervical collar and then place Teresa in a Pediatric Immobilization Device.

Once completed you transfer her and her father to the ambulance. You begin the 7-minute trip to the Children’s Hospital. During the transport you reassess Teresa and assess the Left Lower Extremity for any active bleeding. You deliver the child, accompanied by her father, to the Emergency Department.