SUDDEN DEATH

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

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

28 year old Abdominal Stabbing

M - Penetrating abdominal Injury
I - Paraumbilical Stab
S - RR 32/m, P 126/m, BP 90
T - O2, IV Cannula, 500ml Haemaccel

Everybody wants to know the game plan - so what is it?

The Options

Plan A

Obtain 0+ Blood
Set-up Level 1 (Rapid Infusion Device)
Notify the OR / Senior Surgeon

Plan B

Obtain 0+ Blood
Set-up Level 1 (Rapid Infusion Device)
Prepare for Chest Drain Insertion
Set up for ED Thoracotomy / Ao Cross Clamp

Plan C

Obtain 0+ Blood
Set-up Level 1 (Rapid Infusion Device)
Prepare for Chest Drain Insertion
Prepare for Diagnostic Peritoneal Lavage

(Select your plan)