Sudden Death Trauma Scenarios
The Cases:
Ambulance Message / Handover: M=mechanism, I=injury, S=signs & T=treatment Medical Assessment: A=airway, B=breathing, C=circulation, D=neurological defecit
21 year old Driver : Mini-Minor into Metal Fence : Arriving in 10 minutes
- M - Mini-Minor into Metal Fence
- I - Severe External Chest Injury, Bleeding
- S - RR 34/m, BP 90, P 130/m GCS 15
- T - 02 Occlusive Dressing IV Fluid Morphine 10 mg
Pre - Arrival Plan
You are the Team Leader. There is one other Doctor and Two Nurses.
You have a fully equipped Resucitation Room.
| The Options |
| Plan A |
Plan B |
Plan C |
- Prepare for immediate Transfer to OR
|
- Prepare For Intubation (Drugs / ETT)
- Position CXR plate. Wear lead gowns
- Prepare for Chest Drain Insertion
- Obtain 0+ blood
|
- Prepare For Intubation (Drugs / ETT)
- Prepare for Chest Tube Insertion
- Prepare for ER Thoracotomy
- Prepare for DPL
|
| (Select your plan) |
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