EM Cases · Abdominal trauma
Blunt abdominal trauma — unstable FAST-positive resus station
ACEM Fellowship trauma resus station testing ATLS priorities, FAST decision-making, damage-control resuscitation and avoidance of CT in the unstable patient.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A restrained MVC occupant who is shocked with a seat-belt sign and a positive FAST.
Station brief
Format. Clinical-management (resus) station, 11 minutes. You lead the trauma team.
Candidate instructions. Run primary survey and manage. Examiner plays trauma nurse/surgical registrar. [1]
References2ShowHide
- [1]Rossaint R, Afshari A, Bouillon B, et al. The European guideline on management of major bleeding and coagulopathy following trauma (sixth edition). Critical Care, 2023.PMID 36859355
- [2]Savoia P, Jayanthi SK, Chammas MC. Focused Assessment with Sonography for Trauma (FAST). J Med Ultrasound, 2023.PMID 37576415