Category: Trauma

Splenic Trauma

As the decades have rolled by, the management of splenic trauma has changed significantly. The long-practiced tradition of removing the spleen for the slightest insult has been consigned to the history books, alongside similarly traumatic memories like the Oasis break up (come on Noel!).

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Drunken Wrestling, Painful Belly

It’s a typical Saturday late shift, ticked over midnight to Sunday morning. A young intoxicated man stumbles into triage complaining of severe abdominal pain. He tells you he has had “Quite a few” (read as “a lot”) of drinks tonight and shares that a few hours ago, while playfighting with his mate (as one does following “quite a few”), his mate had fallen onto his abdomen.

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A Pain in the Neck

A 60yo M presents to the trauma centre after his 4WD vehicle collided with a semi-trailer at 90km/hr. He was entrapped in the vehicle for more than 1 hour. At scene he has an unrecordable blood pressure and has had bilateral finger thoracostomies. He has received 4 units of blood en-route. On arrival to the ED he has suspected chest and head injuries and a large bore MAC line is inserted into his left subclavian vein, a massive transfusion protocol is commenced, chest drains inserted and upon stabilisation he is intubated for transfer to CT for a pan scan. En-route the ED registrar asks if we should image his carotid arteries to exclude a carotid injury?

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