SAQ 1050 – Pre-hospital – triage after two critically injured patients

Marked out of 16.00

You are a retrieval doctor tasked to a stabbing five minutes flight time away. One patient is a 22-year-old woman outside with multiple chest and abdominal stab wounds.

A 22-year-old man inside is alleged to have stabbed her then himself; he is in traumatic arrest with CPR ongoing for 10-20 minutes. You are the only medical team and can manage only one patient.

After the male patient is declared deceased, the female patient has airway patent, saturations 84% on non-rebreather, left haemopneumothorax on ultrasound, central but no radial pulse, HR 140, GCS 10, and a 20-minute road transfer to a trauma centre. You carry three units of blood.

List six difficulties you may encounter providing pre-hospital medical care.

(Marked out of 6.0)


/ 6

Which patient will you allocate your resources to, and why?

(Marked out of 2.0)


/ 2

List two interventions you will perform for this patient, and six other pre-hospital interventions shown to be beneficial when performed before hospital arrival.

(Marked out of 8.0)


/ 8

Total Score: 0 / 16

Percentage: 0%