Liverpool Hospital

  • 17-year-old male admitted overnight with multi-trauma from a motor vehicle crash. Clinical findings included an intubated but responsive patient with a laparotomy wound, painful hip/pelvis, seat belt marks and a dressing over his left knee. Candidates were told that he had been admitted overnight following a motor vehicle crash with GCS 13, hypotension, tachycardia and a positive FAST and underwent a splenectomy, and were asked to perform a tertiary survey. Discussion points included cervical spine clearance and management of the post-splenectomy patient.