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).
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…
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
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.
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.
I am a GP working in Broome, NW of Western Australia. I work as a hospital DMO (District Med Officer) doing Emergency, Anaesthestics, some Obstetrics and a lot of miscellaneous primary care. Also on the web as @broomedocs | + Casey Parker | Contact