OK, maybe an old chestnut, but I've had enough politics for a bit - this
is clinical.
RTA, driver smashed up.
? basal skull # with raised ICP.
best GCS 10 on arrival, very, very agitated.
left chest injury.
bruised++ LHS abdo,.
ETT, lines etc.
RS and CVS stable for the 1 hr in trauma room.
She is to have a CT head, neck (peg and C7/T1), chest (? mediastinal inj
on CXR)
In view of abdo bruising and clinical probs assessing belly (sedated,
ventilated) would you....
1. ask radiologist to do bedside USS of belly in trauma pre-CT
2. add CT belly to other CT requests
3. DPL?????
You need to knw that the CT scanner is remote, far from ideal resus
area, down long corrider, up a lift, over small hill, across a ford etc.
(10 minutes journey from A&E in same hospital site).
Incidentally, the locum radiologist was extremely helpful and was in
very early on in proceedings. Let it not be said we don't give praise
when due!
Goat
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