My second day at Trauma Care this year was mostly spent in the Major Trauma in the ED stream. I took some notes, which I have expanded on and reported here, on the off-chance that someone might find it useful. Caution – If I have misrepresented anything, please do let me know and I will update. My notes on the first day are here.
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.