ICU and trauma

Every answer in ICU and trauma has these

• Start with how urgent it is, the operation, and what has gone wrong in this patient.
• In trauma, run xABCDE first: stop the bleeding and give blood before definitive repair.
• Name the numbers you are chasing: pressure, oxygen, CO2, temperature, glucose and urine output.
• Say where the patient goes next and which team takes over.

The cases

1. Severe ARDS for bedside percutaneous tracheostomy Core
2. Septic shock from Fournier gangrene for debridement Core
3. Pelvic fracture haemorrhage for angioembolisation Core
4. High-voltage electrical injury for forearm fasciotomy
5. Child with major burns and inhalation injury for excision Core
6. Carbon monoxide poisoning for forearm fixation
7. Child drowning with possible neck injury
8. MH-susceptible patient with a mandible fracture
9. Cocaine toxicity with a femoral artery stab wound
10. Major trauma at 34 weeks for laparotomy
11. Bilateral femoral fractures and fat embolism Core
12. Flail chest on apixaban for rib fixation
13. Brain-dead donor for multi-organ retrieval Core