Case 1 Farwaniya hospital. 36 y/o Male. Previously healthy. Brought to casualty by ambulance after being hit by a car.

Slides:

Advertisements

Similar presentations

INJURIES TO THE GENITOURINARY TRACT

Advertisements

Genitourinary Trauma Dr. Andrew McDonald Sept. 19, 2006

Case present FALLING DOWN. C.C & P.I  CC : Falling down from 2meters  P.I :  A 39 years old man falled down 2meters to a whole  He complained of trauma.

Pelvis Lab. Case 1 36 year old woman with pelvic pain.

Principles of Trauma Symphony of Surgery

SAQ 1 Monash Health Practise Exam A 25 year old female pedestrian is brought in to your tertiary emergency department by ambulance having been.

Case Presentation Bianca Brif MD. Background  10 year old, previously healthy male  No PMH of hospitalizations/illness  NKDA  Vaccinations up to date.

Poisoning Dr Esther Tsang August Case 1 25 year old Vietnamese lady Unable to communicate due to language barrier. Has vomiting for the past one.

Case 1 CR2 莊景勛 2007/08/28. Patient’s Profile Name: 林 X 琪 Gender: female Age: 14 years old Chart number: Arrival time: 2007/07/1, 16:42.

Author Dr. Chan Chun Man Oct., 2013

Trauma Associated Severe Hemorrhage (TASH)-Score: Probability of Mass Transfusion as Surrogate for Life Threatening Hemorrhage after Multiple Trauma The.

Principles of Patient Assessment in EMS. Detailed Physical Examination.

ABC’s of Multi System Trauma Christopher Freeman M.D.

ASSESSMENT AND MANAGEMENT OF THE TRAUMA PATIENT Instructor Name: Title: Unit:

Broward General Medical Center Level I Trauma Center

CDR JOHN P WEI, USN MC MD 4th Medical Battalion, 4th MLG BSRF-12 ABDOMINAL TRAUMA.

Abdominal of Trauma.

Urogenital Trauma Liping Xie

K. Guerra. A 10 year old was a rear seat passenger who was wearing a lap belt in a vehicle that was struck from behind while at a red light. He presents.

DR. ABDULLAH GHAZI ASS. CONSULTANT PMAH 13/2/2014 RENAL TRAUMA.

Jahra hospital First case Talal Alanzi Yr

Catheter Induced PA Perforation. Case II  55 female non smoker  POD#7 CABG & mitral valve annuloplasty  Chest medicine consult because of Recurrent.

Abdominal Trauma. A middle aged unidentified lady was hit by a car whilst crossing the road. She was brought to the ER unconscious with multiple injuries.

Chapter 9 Common surgical problems Trauma. Case study: Hamid 14 year old boy was involved in the accident with a car.

Abdominal Trauma Begashaw M (MD).

Literary Grand Rounds Clinical Vignette Literary Grand Rounds Clinical Vignette Barry Crittenden, MD PGY2 March 18, 2009.

Pediatric Blunt Abdominal Trauma Stephen Wegner, MD James E

Case Conference- 急診外科 Presenter: Int. 黃士財 Director: 林杏麟醫師 Date:

CASE REPORT Intern 呂佾欣. Profile Name: 劉ｘ珍 Name: 劉ｘ珍 Chart No.: Chart No.: Gender: female Gender: female Age: 49 y/o Age: 49 y/o Admission.

Chapter 9 Common surgical problems Trauma. Case study: Hamid 14 year old boy was involved in the accident with a car.

Case report By 馮文翰. Identity / Name: 崔 X 誠 / Sex: male / Age: 29 years old / Chart number: / 來急診的時間： / Name: 崔 X 誠 / Sex: male.

Case presentation 2002/10/28 By Liu Chih-Min.

Case Report by intern 莊凱峻. Patient profile Name: 李 X 焜 Gender: male Age: 80 y/o Chart No.: Date: pm4:50.

Trauma – Part I. 45 year old man is involved in a two vehicle MVC. 45 year old man is involved in a two vehicle MVC. He is a single occupant trying to.

Clinical Case: Mr Veri Pushi: 45 year old married self-employed property developer You are present in casualty when this gentleman is brought in by ambulance.

Case Conference 指導老師李維哲醫師 Intern 莊淵智 Patient ’ s profile Chart NO. : Name : 王 XX Age : 20 y/o Sex : male Date of ER visiting :

Abdominal Trauma. Etiology: – Blunt injuries: 90% Automobile injuries - 60% ≥90% = survive 22% = death – Penetrating abdominal trauma: 10% Gunshot or.

急外 Case Report Intern 洪毓棋. Patient 姓名 : 黃 X 偕性別 : 男生年齡 : 11 歲 ID: 就診日期 : 95/6/28 下午 2 時體重 : 28kg.

Death Audit Mr Rasika Champia 40/ Male. Dr Smarajit Patnaik Consultant Orthopaedic Apollo Hospitals, Bhubaneswar.

A Patients Survival Story Dr Laura Attwood EM Consultant, RVI Pre Hospital Care Consultant, GNAAS.

VCU DEATH AND COMPLICATIONS CONFERENCE Sihong SuyApril 5, 2012.

Case Presentation Intern 蔡孟峰. Chief Complaint Traffic accident last midnight(06/03), transferred from “ 劉光雄 ” Hospital.

Case Report 95/06/11 Intern 張偉德. Patient ’ s Profile  Name ：郭 ○ 玲  Age ： 40 y/o  Sex ： female  Chart no. ：  95/6/25, 12:04 入 ER.

Case Scenarios of DIC Dr. Jyoti Bhaskar MD MRCOG Director Lifecare IVF Consultant Lifecare Centre and Pushpanjali Crosslay Hospital.

TRAUMA ASSESSMENT. PRIMARY SURVEY AIRWAY – Assess for patency/obstruction Chin lift/ jaw thrust Clear FB’s Oropharyngeal airway Intubation/surgical airway.

Case Presentation Presenter : Intern 黃曉禹.

Academic day 13/02/2014 MUBARAK ALKABEER HOSPITAL.

MORTALITY REVIEW: CRITICAL INCIDENTS Dr Tengku Abdul Kadir Tengku Zainal Abidin Supervised by: Dr Khairuddin Ismail.

VCU DEATH AND COMPLICATIONS CONFERENCE. Introduction of Case  Complication Death  Procedure  Ex. Lap, Splenectomy, Left anterior thoracotomy, Ligation.

1 BLADDER TRAUMA Injuries to the bladder commonly occur along with pelvic trauma or may be due to surgical interventions.

Surgical Pathological Conference Infective Endocarditis with Brain Abscesses ( ) 神經內科洪國華.

Case Report Intern 謝旻翰. Status on Arrival Consciousness –Alert Vital sign –RR: –PR ： 70 –BT: 36.5 –BP: 162/102.

Case Presentation Dr. ALI ALAMIRI Urology Dept.–AlFarwaniya Hosp. R2.

VAQs Week 33. A 3 month old girl is brought to your emergency department after three days of diarrhoea and vomiting. She appears very unwell and lethargic,

Case scenario- Multiple trauma

Hossam Hassan.  32 years old lady known case of SLE presented with 3 days history of generalised malaise,nausea and repeated vomiting.

Primary Hyperparathyroidism presenting with Pancreatitis Prof. Aasem Saif MD, MRCP(UK), FRCP(Edin) Workshop A (Calcium and Bone) Friday 25 October 2013.

Doubly bad. Prehospital Monday 4 th April :23 high speed head-on MVA at Birkdale 2 patients Flail chest, severe abdo pain & pelvic # ?compound.

Case Report Disseminated Granulomatous disease of peritoneal cavity presenting as carcinomatosis Rule of diagnostic laparoscopy.

Right traumatic hepatothorax

Chapter 9 Common surgical problems Trauma

OSCE By QEH JCM – 4 April 2018.

Emergency Radiology.

The Harmony Factor.

Heavy Lies the Helmet Episode #30 Case Studies.

Chapter 9 Common surgical problems Stabilisation of Trauma

Urogenital Trauma Liping Xie

Presentation transcript:

Case 1 Farwaniya hospital

36 y/o Male. Previously healthy. Brought to casualty by ambulance after being hit by a car.

Cons, alert, oriented. Complaining of – Abd pain – Right chest pain – Pelvic pain.

Vital sign GCS 15/15. A: maintaining airway. Spo 100% B: reduce A/E on r.side. C: BP 78/50 – P 112.

Resuscitated by IVF. BP 137/112. O/E: – Chest: good A/E bilaterally. – Tender, guarding all over his abd. – Genitalia + DRE normal. – No blood at EXT. uretheral meatus. Foly`s cath. : hematuria

Investiagtion FAST: peri-hepatic fluid collection. CBC: HB 15.9 – WBC 26- PLT 228. RFT: creat 68 – urea 1.1 Na k 3.5 LFT : Normal.

pelvis

CT showed - large pelvic hematoma (5x11x12cm) - pelvic fracture – Comminuted fracture of Lt. pubic bone – Inf. Pubic rami bilaterally - peri-hepatic free fluid ( no liver truma, no active bleeding)

Pt shifted to ICU -Pt prepared for surgery After 2 hours : Hb became 7.6. BP 100/70. Received 2 pints PRBC + 6 FFP. SHIFTED TO OT

Surgical exploration – Large bladder tear ( dome ) – 2 lacerations around bladder neck – repaired with 2 layer closure – No intervention from surgical side – SPC and drain were fixed – Drain removed after 2 days – SPC removed after 2 wks

Thank you for listening