Traumatic life-threatening haemorrhage

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  • Traumatic life-threatening haemorrhage
You are part of a rescue team that has been called to the crash of a small compact vehicle with the vehicle of upper middle class. It was a front-side collision with a strong deflection of a small compact vehicle to the area of the driver´s cab. Driver is wedged with injuries incompatible with life, passenger was extracted by FRS, lying on the ground. What will be your first 3 steps?

Stabilization of the cervical spine, AVPU examination, airway examination.

Correct answer

You follow the ABCDE approach which eliminates life-threatening situations in order that causes the death of the patient.


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Peripheral vein cannulation, administration of infusion, measurement of blood pressure and oxygen saturation.

Incorrect answer

Stabilization of the cervical spine, securing the airway and breathing are way more important than peripheral vein cannulation, administration of infusion, measurement of blood pressure and oxygen saturation, which refer to letter C (circulation).


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GCS scoring, chest examination, peripheral vein cannulation.

Incorrect answer

Securing the airway and breathing is more important than GCS scoring which comes as letter D in the ABCDE acronym (D = disabilities = neurological examination).


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Help

The AVPU scale (an acronym for "alert, voice responsive, pain responsive, unresponsive") FRS (an acronym for Fire rescue service) GCS (The Glasgow Coma Scale is the most common scoring system used to describe the level of consciousness in a person following a traumatic brain injury) ABCDE (airways, breathing, circulation, disabillity, exposure)×
 
RR

not available

HR

not available

SpO2

not available

BP

not available

ECG

not available

 

glc

not available

ABG

not available

CBC

not available

biochem.analysis

not available