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MBChB Year 4
SCENARIO
Module 1: Road Traffic
Accident (RTA)
Current Assessment The paramedic team bring in three young men to Accident and
Emergency, from a serious road traffic accident in central Liverpool. The story
is obtained from the police that they had followed them after they were seen
running from a drugs raid in one of the clubs. After following them for some
distance at high speed, their car had collided with an articulated lorry and
overturned. The driver and rear passenger had been thrown out of the car. All
three were agitated when the paramedics arrived; the driver was
semi-conscious and confused. On initial assessment by the triage nurse in A & E, Dave,
the driver, was quiet, pale and confused. He had obvious injuries to both
lower legs and was moaning about pain in his left hip. John was very drunk,
semi-conscious and combative. He was bleeding heavily from scalp and facial
wounds with an obvious boggy swelling on his left scalp. He had obvious major
trauma to his left arm and leg. Mark, the second passenger, was abusive and
smelt strongly of alcohol. He had multiple facial abrasions and his left
ankle was obviously deformed. He kept insisting, however, that there was
nothing wrong with him and he didn’t see why he should stay in hospital. |
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