SAQ 439 – Trauma – shocked intubated motorcycle crash with haemopneumothorax

You are working in a level 1 trauma centre on a busy Sunday evening when ambulance notifies you of a 23-year-old man from a high-speed motorcycle crash. He was intubated at the scene, has IV access, has received 250 mL normal saline, and is 5 minutes away.

After arrival he has reduced left-sided air entry and a soft abdomen. Observations are unchanged. eFAST shows a large left pleural fluid collection and left pneumothorax, with no abdominal or pericardial free fluid. A chest drain is inserted.

List the top five (5) priorities in preparing for his arrival.

(Marked out of 5.0)

/ 5

Name the three (3) components of the lethal triad of trauma and describe how you would prevent each from worsening morbidity and mortality.

(Marked out of 3.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Component</th> <th>Preventive action</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> </tbody> </table> <p>

/ 3

Describe three (3) indications for immediate transfer to theatre for his chest injuries.

(Marked out of 3.0)

/ 3

Total Score: 0 / 11

Percentage: 0%