Q.   You found that to be normal? 
                  A.   Correct. 
                  Q.   The next thing you did was check for pulse and 
                  A.   Just pulse. 
                  Q.   Let's start with the right, the peripheral carotid, 
             you listed as two plus. 
                  A.   Yes. 
                  Q.   Is that within normal limits? 
                  A.   Yes, that's normal. 
                  Q.   The bracial pulse is two plus.  Within normal 
                  A.   Yes. 
                  Q.   The radial pulse is two plus.  Within normal 
                  A.   Yes. 
                  Q.   Femoral pulse, two plus.  Within normal limits? 
                  A.   Yes. 
                  Q.   I see there is no popliteal pulse, either right or 
             left.  Do you know why that is? 
                  A.   It's very difficult to feel, and if the pulses can 
             be palpated distally then it's usually present. 
                  Q.   There is two plus for dorsalis pedis?
                  A.   Right. 
                  Q.   That was within normal limits as far as you were 
                  A.   Yes.
                  Q.   And two plus tibial? 
                  A.   Posterial tibial.
                  Q.   On the right, and the readings were all the same on 
             the left of two plus? 
                  A.   Correct.
                  Q.   As far as you were concerned, his peripheral pulses 
             were all within normal limits? 
                  A.   Yes. 
                  Q.   You then checked his spine and you checked off 
             normal.  How did you examine his spine at that time? 
                  A.   By palpation. 
                  Q.   In doing that, did you have to turn him over? 
                  A.   No, you put your hand underneath him. 
                  Q.   You examined his abdomen and by inspection you 
             saying normal you have circled the word "flat," am I correct? 
                  A.   Yes. 
                  Q.   And written the word "nontender."  Is that on 
             inspection or is that under the palpation portion? 
                  A.   That's palpation. 
                  Q.   The fact that he had a flat abdomen was a normal 
                  A.   Yes. 
                  Q.   You then palpated his abdomen? 
                  A.   Yes. 
                  Q.   And found it to be nontender? 
                  A.   Correct.
                  Q.   Do I conclude from that that your inspection of his 
             abdomen by palpation was normal? 
                  A.   Yes. 
                  Q.   You then did percussion of the abdomen? 
                  A.   Yes. 
                  Q.   What were your findings? 
                  A.   It was normal.
                  Q.   You did auscultation? 
                  A.   Yes. 
                  Q.   What were your findings? 
                  A.   Normal. 
                  Q.   Then did an examination of the genitalia? 
                  A.   Yes. 
                  Q.   And found that to be normal as well? 
                  A.   Normal. 
                  Q.   Did you do a rectal examination?
                  A.   I probably was not the one that physically did it, 
             but it was done in my presence.
                  Q.   And found to be normal? 
                  A.   Yes. 
                  Q.   Under stool, there is something that I can't read.
                  A.   Hem negative, meaning there was no blood in the 
                  Q.   Under "extremities," it is written normal and you 
             have checked as what?
                  A.   No obvious bony deformity.
                  Q.   How did you examine the extremities? 
                  A.   By inspection and palpation.  He had no obvious 
                  Q.   The joints you have checked as normal.  What joints 
             would it be that you checked at that time? 
                  A.   Also extremities. 
                  Q.   Did you check for meningeal signs? 
                  A.   No.  You are not allowed to move the neck in a 
             trauma patient.
                  Q.   Would you describe for me how the neurological 
             examination that you performed on this first examination that 
             you did? 
                  A.   Neurological exam, he was awake and oriented. 
                  Q.   Excuse me?  I'm sorry.  I didn't mean to interrupt 
             you.  Tell me first what you did and then we will get to the 
                  A.   What I did was examination and by how he was 
             answering questions, I evaluated his responsiveness. 
                  Q.   Did you do at this time any pinprick tests? 
                  A.   No. 
                  Q.   Or any objective tests of that nature?
                  A.   No.  This is also a primary survey, quick and 
                  Q.   So you wouldn't have been hitting him with hammers 
             or anything like that? 
                  A.   No. 
                  Q.   Neurological, would you read for me what you have 
             written under that section? 
                  A.   Awake, oriented to name only, combative, confused, 
             moving all four extremities strongly and answers questions 
                  Q.   When you say that he was oriented to name only, 
             what was he not oriented to? 
                  A.   To where he was and when it was. 
                  Q.   How did you elicit that he was not oriented to 
             those things? 
                  A.   He did not know where he was.  He did not realize 
             he was in the hospital. 
                  Q.   What was the significance to you of his moving all 
             four extremities strongly? 
                  A.   He showed no focal signs of neurological deficits. 
                  Q.   Other than what you have told me about what you 
             have asked him, when you wrote "answers questions 
             appropriately," is it those questions that you have already 
             told me about? 
                  A.   Yes. 
                  Q.   During this part of the exam, did you ask him 
             something else? 
                  A.   Those questions that I asked him initially. 
                  Q.   His speech you checked was normal? 
                  A.   Yes. 
                  Q.   Cranial nerves; how did you examine the cranial 
             nerves at this time?
                  A.   That's also a very brief inspection of the face and 
             how he moves his face in conversation. 
                  Q.   Is that at the end of the physical examination that 
             you did? 
                  A.   Yes. 
                  Q.   You wrote an impression.  Would you read that for 
             me, please? 
                  A.   "18 year old, Hispanic male in high speed on--in 
             high speed head on collision.  Rule out closed head injury." 
                  Q.   The next thing on this list or plan is diagnostic.  
             The blood work that was drawn at the time of this examination 
             generally speaking, how long would it take for that to come 
             back so that it appears on your initial examination sheets? 
                  A.   The blood gas comes back first.  That's usually 
             within ten, fifteen minutes.  The rest of it takes at least 
             an hour. 
                  Q.   Now, can you, starting with the top line under 
             bloods, with the 138, tell me what the number represents, 
            that is, what test is it and then tell me whether it's high 
             or low or within normal limits? 
                  A.   The sodium was 138.  That was normal.  Potassium 
             was 3.7.  That was normal.