Clinical Challenges in Trauma Surgery: Stabbed in the Back - Decision Making in a Penetrating Junctional Vascular Injury
EP. 932Sep. 29, 202533:53
Trauma
Trauma
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OverviewTranscript
“It’s 5pm and your Consultant (attending) has headed off home. A patient arrives in the resuscitation room blood spurting from a stab wound in the armpit. Join Roisin – a junior Major Trauma fellow, Prash – a surgical trainee, Max – a senior trauma surgery fellow, and Chris – a Consultant trauma surgeon, as we talk through decision making from point of injury to aftercare in this challenging trauma surgical case”.
• Hosts: Bulleted list of host names, including title, institution, & social media handles if indicated
1. Mr Prashanth Ramaraj. General Surgery trainee, Edinburgh rotation. @LonTraumaSchool
2. Dr Roisin Kelly. Major Trauma Junior Clinical Fellow, Royal London Hospital.
3. Mr Max Marsden. Resuscitative Major Trauma Fellow, Royal London Hospital. @maxmarsden83
4. Mr Christopher Aylwin. Consultant Trauma & Vascular Surgeon and Co-Programme Director MSc Trauma Sciences at Queen Mary University of London. @cjaylwin
• Learning objectives: Bulleted list of learning objectives.
A) To become familiar with prehospital methods of haemorrhage control in penetrating junctional injuries.
B) To recognise the benefits of prehospital blood product resuscitation in some trauma patients.
C) To follow the nuanced decision making in decision for CT scan in a patient with a penetrating junctional injury.
D) To describe the possible approaches to the axillary artery in the context of resuscitative trauma surgery.
E) To become familiar with decision making around intraoperative systemic anticoagulation in the trauma patient.
F) To become familiar with decision making on type of repair and graft material in vascular trauma.
G) To recognise the team approach in holistic trauma care through the continuum of trauma care.
• References: Bulleted list of references with PubMed links.