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
45 Male Construction Worker
| Plan B |
- Prime Rapid Infusion Device with O+ Blood
- Notify OR
|
Correct
The most likely cause of the tachypnoea in crush injury to the abdomen is the sympathetic response to hypovolaemia. (Ruptured diaphragm would be a possible cause).
Resucitation with blood and laparotomy will be required and so should be prepared for. An airway or chest problem can be dealt with if it is clinically apparent on assessment.
On Arrival:
- A - Intact
- B - AE Equal, RR 26/m
- C - BP 80, P 140/m, Blood pooloing between buttocks
- D - Conscious, In Pain
The Injury
Compound Pelvic Fracture
| The Options |
| Plan C |
Plan D |
Plan E |
- Commence O+ Blood
- Transfer to OR
|
- Intubate and Ventilate
- Commence O+ Blood
- Pack Perineal Wound in ER
- Reduce Pelvis & Externally Fix in ER
|
- Intubate and Ventilate
- Commence O+ Blood
- Pack Perineal Wound in ER
- Transfer to Angiography Suite
|
| It's your call! |
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