post

Clinical Case 100: Back to the Future

Whooo hooo! Here we go – Broome Docs is bringing up the century of Clinical Cases.

I thought that for the big 100 we would go back to the beginning – back to Case 001.  It was the first post on the blog – it was a multi trauma case – a lady hit by a 4WD with lots of injuries.

So we are heading back to the future – and I am taking a mate along for the road – none other than the KI Doc – Tim Leeuwenburg (@Kangaroobeach).

TIML

 

team leader

Tim is a man obsessed with remote trauma, prehospital and all the kit that goes long with it.  He is a deep thinker, a true pioneer of excellence in Rural critical care…  So I thought I would make it tougher for him.

Instead of one critically injured patient – I am going to throw 3 at him…

  1. The original Case 0001 victim – she has been clipped by a 4WD doing about 70 kph.  She has extensive (R) sided injuries – femur, pelvis, blunt abdo
  2. The driver of the 4WD swerved to avoid her and rolled his vehicle – he has been ejected from the vehicle (no seatbelt) and has a large open head injury – brain on view.
  3. The child (also unrestrained) of the driver, he has a near complete amputation of the lower leg but is alert and trapped in the vehicle.

Oh, and in true country style – time is not our friend.  It is now more than an hour since the collision – bleeding has happened and our patients are not in a good way.  And we are in the middle of nowhere, a long way from help.

Tim joined me for a chat about the practicalities, the strategy and the bigger picture.  We cover quite a bit of the stuff we have both learned over the past few years from our FOAMies.  So sit back, grab a brew and enjoy.

DIRECT DOWNLOAD the podcast.

Pelvic binder images from Tim – yep, best to leave them on if in any doubt. Avoid rehandling and trouble!

NicePelvic Binder ON
    then…  
AhhhhhPelvic Binder OFF
  then…  
Pheww!Whoops, binder BACK ON

Thanks for reading, listening and commenting – looking forward to the next 100!

 

Casey

Speak Your Mind

*