Major trauma in pregnancy with concealed abruption — emergency management station

Station brief

Format. Emergency management station, approximately 12 minutes. You are the obstetric registrar in the emergency department. The trauma team leader, anaesthetist and midwife are with you; the obstetric consultant is coming. The assessor feeds you new observations.^[2]

Candidate instruction. Lead the modified primary survey and immediate management of a major blunt trauma in pregnancy. Verbalise your pregnancy-specific modifications, your fetal assessment, and your escalation triggers for abruption and maternal collapse. Plan for anti-D and intimate partner violence screening.^[1][10]