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You are the anaesthetist on-call for trauma in a major tertiary hospital. You have been asked to attend the Emergency Department for a 48-year-old man brought in by paramedics with stab wounds following a pub fight in a regional town two hours away.
He has no previous medical conditions and no known allergies.
You notice that he is obese. He is irritable but is obeying commands. He has a cut and bruising over his left eye. There are wounds on his abdomen covered by blood- soaked gauze packs, and further wounds on his leg, with a tourniquet on his upper thigh.
His observations are:
Heart rate 125 bpm
Blood pressure 110/68 mmHg
Respiratory rate 26 breaths per minute SpO2 96% on 10LO2/min via Hudson mask
The ED physician tells you that an eFAST scan is positive. The surgeon asks if you are able to go straight to theatre for exploratory laparotomy.
Would you prioritise Computed Tomography (CT) scanning for this patient before going to the operating theatre?
Past Anaesthetic Viva
