Sim Blog: Stealth Trauma
A – Patent
B – RR 25, Sats 87% (15l)
C – HR 72 BP 110/75
D – GCS E4 V4 M6 (14)
E – Temperature 34.9°C
Reduced air entry on the left
Painful Hip Movement
Why We Simulated?
In the frail/elderly a minor mechanism can result in significant trauma. This was discussed in this weeks Lightning Learning and can be known as Stealth Trauma.
It may be that because of the low mechanism these patients do not trigger transfer to the Major Trauma Centre so it is vital that staff in a Trauma Unit can recognise and deal with these injuries. This may include simply being aware that you need to look for multiple injuries and to consider CT and/or transfer to an MTC.
Practice makes perfect and it is an important role of in situ simulation to provide training in practical procedures by running through the anatomy and the equipment in preparation for use. This enables all staff groups to have the opportunity to learn in a safe way and to test out issues such as where to access equipment.
Avoid talking to colleagues when they are performing critical tasks e.g. administering drugs.
When performing practical procedures set up your environment carefully – make things easier for yourself!
Speak up if you are unsure about something, sharing your mental model doesn't just apply to the team leader.
Clear & regular communication by team leader inc closed loop communication a summarising.
Recognition of significant hypotension taking into account PMH.
Practical procedure taught well to junior trainee within the scenario.