24 March 2021 - Trauma

Program

1000-1015: Recap of last week’s teaching — Marty Lynch

1015-1030: My Health Record -- Erin Commons

1030-1100: Primary and Secondary Survey — Jason Aw

1100-1130: SVHM ED Trauma Response — Emmeline Finn (and intro about the new NOF # Pathway — Leonie Marcus)

1130-1140: Image of the Week — Rex Gavan

1140-1145: ECG of the Week — Katherine Watson

1145-1215: Lunch

1215-1245: Clearing the C-spine — Marty Lynch

1245-1500: Small group sessions rotating through Trauma Simulation, trauma skills and ultrasound

Try and do some pre-reading on trauma if you can: https://trauma.reach.vic.gov.au/

Teaching this week will begin in the Education Centre on Level 3 of Building C (Healy Wing).

 Image of the Week

70 year old lady slips on a wet floor and lands awkwardly, presents with left knee pain.

What abnormalities do you see on this XR?

• Lateral tibial plateau fracture

• Proximal undisplaced mildly compressed fibula head fracture

• Moderate suprapatella lipohaemarthrosis

What is the classification system for this type of injury?

What is the common mechanism of this type of injury?

Compression through leg with varus/valgus rotation

ECG of the Week

78yo man presents with urosepsis.

Describe this ECG.

Narrow complex tachycardia at around 100-150bpm with ST elevation in aVR and ST depression in Leads, I, II and V4-6.

What is the diagnosis?

Diffuse subendocardial ischaemia

What are the causes of this?

In this case, sepsis => acidosis and hypoxia => decreased stroke volume => increased heart rate to compensate => decreased time for diastole => decreased coronary artery perfusion.