Mr Tony Block is a 52 year old man who presents to the emergency department (ED) after having a motor bike accident (MBA) 1 hour ago. Mr. Block is alert when the paramedics arrived at the accident scene.

Mr Tony Block is a 52 year old man who presents to the emergency department (ED) after having a motor bike accident (MBA) 1 hour ago. Mr. Block is alert when the paramedics arrived at the accident scene.

Mr Tony Block is a 52 year old man who presents to the emergency department (ED) after having a motor bike accident (MBA) 1 hour ago. Mr. Block is alert when the paramedics arrived at the accident scene. Mr. Block is complaining of severe pain (10/10) to his left rib area and abdomen, he states to the paramedics he lost control of the motorbike whilst turning the corner and came off the bike hitting his abdomen on the handle bars
CASE STUDY

Mr Tony Block is a 52 year old man who presents to the emergency department (ED) after having a motor bike accident (MBA) 1 hour ago. Mr. Block is alert when the paramedics arrived at the accident scene. Mr. Block is complaining of severe pain (10/10) to his left rib area and abdomen, he states to the paramedics he lost control of the motorbike whilst turning the corner and came off the bike hitting his abdomen on the handle bars.

Mr. Block was treated at the accident site by the paramedics and arrives to the ED at 0950hrs on 4 February 2015 with the following:

PRIMARY SURVEY

AIRWAY: Awake and alert, lying in a supine position with rigid cervical collar insitu. Has no upper airway noises and facial abrasions are noted.

BREATHING: RR 26 breaths/min; shallow. He is receiving 10L/min 02 via a Hudson mask. His Sp02 is 95%. On auscultation decreased air entry left base.

CIRCULATION: HR 108 bpm (regular), monitoring in sinus rhythm. Heart sounds normal. BP 90/55mmHg, patient is cool to touch. Temp 35.7°C.

DISABILITY: GCS 15/15. Equal power and movement in all limbs. Pupils equal reactive to light. Equal power 6/6.

EXPOSURE: Cut clothes to remove. Extensive bruising noted over the abdominal ULQ and left lateral thoracic region.Log roll- no obvious step, anal tone normal.

FLUIDS: I.V. Hartmann’s running via I.V. 16g cannula, right cubital fossa.Bloods taken from 2nd cannula, left cubital fossa.

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