Trauma, Burns and Drowning

Penetrating neck trauma

Hyperthermia

Traumatic liver injury

Assessment and management of burns

You are working as a Locum Intensive Care Specialist in a regional hospital with no tertiary paediatric service. You are called as part of the trauma team to the Emergency Department to assist with the management of an 8 year old child with burns.

A 50-year-old male patient returns to ICU following a laparotomy, splenectomy and partial hepatectomy for intra-abdominal bleeding following a high speed motor vehicle accident with isolated abdominal trauma. He has had a massive transfusion in theatre.

Emergency management of severe burns; also, carbon monoxide and cyanide toxicity

The morbidly obese trauma patient... who also turns out to be pregnant

A 23 year old woman is the driver of a car involved in a high-speed motor vehicle crash and is brought to your hospital. She had been trapped for some time by her lower limbs, and at the time of extrication from the vehicle, she was talking and obeying simple commands.

An 18-year-old male has been involved in a high-speed motor vehicle accident. His initial GCS at the scene was 5 (E2,V2,M1) and he was intubated without any drugs. He has been a primary retrieval from the crash scene to your hospital.

A 25 year old cyclist fell of his cycle at high speed and was found unconscious. In the Emergency Department initial observations are pulse 108/minute, blood pressure 100/60 mm Hg, saturation 89% on 15 litres/min oxygen via face mask.

You  are asked  to  review  a  64  year  old  man  who  has  been  brought  to  the  emergency department having  been rescued  from a house fire.   There is no coherent history available from the patie

A 45 year old man is brought to the Emergency Department following a motor vehicle accident. He was the driver in a frontal collision. The other occupant of the car is dead. There is no history of loss of consciousness and he is fully conscious on presentation to the Emergency Department.

Management of a multi-trauma patient

Trauma 
Scenario: 
“A 27 year old man is admitted to hospital following a multiple vehicle crash on the freeway. He is
awake and complaining of abdominal pain. There is an obvious open femoral fracture. Outline your initial assessment and management.”

Clinical case 2.

Clinical Case 1.

Case presented regarding investigation and management of a patient with multiple trauma
(including a pelvic fracture).  Introductory material and initial question was:

Clinical Case 2.

Case presented required interpretation of investigations and management of a patient with multiple injuries (including ruptured spleen, tension pneumothorax, meningitis and hypernatraemia).

 Introductory material and initial question was:

Trauma

Clinical  case .Material presented regarding post-operative management of a patient with multiple injuries included management of coagulopathy and lung injury , CXR and CT chest with  chest  trauma,  complications of  disease  and  management,    

Musculo-skeletal

Procedure station. Candidates were expected to provide a systematic approach to a patient with a tension pneumothorax. The scenario provided was as follows:

Management of hypotension 10 days after severe burns. Fourteen out of fifteen candidates passed this section.

Initial and ongoing management of injuries due to major trauma

Resuscitation of a young fit male with multiple injuries following a motor vehicle crash. A closed head injury, pulmonary contusion and pelvic fractures necessitated specific management.

Management of shock after major trauma.

Burns with smoke inhalation and airway burn