Brittany is unconscious when the paramedics arrive, but as they begin to put her into a hard neck collar, strap her to a firm board and carefully place padding around her; she starts to drift in and out of consciousness. She is also bleeding from a large gash above her eye. In the ambulance, the paramedic monitors her vital signs — she is hypotensive and her pupils are unevenly dilated. The paramedic has placed Brittany’s wallet on the gurney and a policeman retrieves her driver’s license.
The mother from the other car is placed in another ambulance and keeps asking for her daughter. The policemen cannot find anyone else in the car and thinks she must be confused. Then she remembers she already dropped off her daughter at school and starts crying with a mixture of relief and pain.
Once in the hospital emergency department (ED), the admitting clerk types “Brittany Wilson” into the computer and pulls up her electronic health record (EHR). The policeman confirms her contact information and leaves to locate her parents. The triage nurse has already confirmed that Brittany must be immediately placed in a room and a team of healthcare professionals are beginning to assess Brittany’s injuries.