SUDDEN DEATH

The Cases:
Ambulance Message / Handover: M=mechanism, I=injury, S=signs & T=treatment
Medical Assessment: A=airway, B=breathing, C=circulation, D=neurological defecit

• 10 year old Penetrating Leg Injury
• 18 year old Motor Cross Rider : Rope Injury to Neck
• 21 year old Driver : Mini-Minor into Metal Fence
• 28 year old Abdominal Stabbing
• 34 year old Army Private: Gunshot Wound to Abdomen
• 45 year old Construction Worker : Crush Injury
• 45 year old Metal Worker : Angle Grinder Injury to Right Groin
• 38 year old Gunshot Wound to Abdomen
• 40 year old male Pedestrian Hit by a Truck

Plan E

Orotrachael Intubation Insertion of Chest Drain 4 sided Occlusiove Dressing

   Open pneumothorax is quite uncommon, but when they do occur a sucking chest wound may result in significant ventilation / perfusion mismatch. An effective "shutter valve" or 3 sided dressing is difficult to achieve in an extensive injury of this type. Clearing the pneumothorax by the 3 sided dressing technique requires strong respiratory effort whereas the combination of positive pressure ventilation and suction ICC ensures clearence.

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