MedBugs: SAQ #550

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Case: Abdominal trauma

You are working in a level 1 Trauma Centre. You receive ambulance pre-notification regarding a 23-year-old male involved in a single vehicle high speed accident,striking a pole. The patient has abdominal injuries. He was intubated at the scene and has a single, large-bore IV cannula through which he has received 250mL of normal saline. He has been placed in a cervical collar and pelvic binder. His observations at the scene were :

Temp 34 °C
HR 160 bpm
BP 75/50 mmHg

O2 Saturations 99% FiO2 0.6

GCS 3 (E1, M1, V1)

1. List the (3) components of the “Lethal Triad of Trauma.” For each component list (2) actions you would take to prevent these from contributing to the patient’s morbidity and mortality. 9 marks

After your initial expert management, the vitals signs and haemodynamic status improve sufficiently to allow for safe transfer to the CT scanner

2. State (3) most important findings on his abdominal CT. 3 marks

3. In general, state (2) indications for angioembolization of any patient with the above injury. 2 marks

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Case: Abdominal trauma

1. List the (3) components of the “Lethal Triad of Trauma.” For each component list (2) actions you would take to prevent these from contributing to the patient’s morbidity and mortality. 9 marks

2. State (3) most important findings on his abdominal CT. 3 marks

3. In general, state (2) indications for angioembolization of any patient with the above injury. 2 marks

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