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
An unknown 40 year old male has been hit by a Truck!
- 23:50 - The Ambulance Officers receive the "Call Out"
- 00:00 - The Ambulance Officers arrive at the scene
Initial Assessment:
- Airway Intact
- Difficulty with breathing
- P 140 BP 80
- GCS 12
- Bleeding from the head and Left Leg
Intervention:
- Cervical Collar applied
- High Flow Oxygen administered
- MAST (PASG) suit applied and 1300ml of Haemaccel administered
- 00.17 - The Ambulance leaves the scene
- 00.40 - The patient arrives in the resucitation room
Initial Assessment:
- Airway Intact and Cervical Spine protected
- Reduced Air Entry Left Chest
- P 145 BP 85
- Responding to Painful Stimuli
- Bleeding from scalp laceration and Compound fracture Left Leg
What would you do next?
- Would you intubate him immediately?
- Would you put in a chest drain or do a CXR first?
- What IV access do you need and what fluid resucitation would you give him?
- Should he go straight to the Operating Theatre?
What happened next: Page 2
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