Trauma+ series: 1 – Cocaine

Trauma happens to anyone, at any time of day.  It has no respect for hospital pathways, pre-existing medical specialties, or patient demographics.  Inevitably, the trauma resuscitationist will encounter patients with more than one problem: the mature male with coronary artery disease leading to a “medical” cardiac arrest at the wheel, the patient with severe COPD with multiple rib fractures from a fall, or as I’m going to discuss today, a patient with a severe cocaine overdose who gets hit by a car.

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