Multiple Stabbings "Minding my own business"
Created Nov 2015
Contact Information
Developed by: Dr. K. Clark
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: <strong>No</strong> (Has not been peer reviewed or the information will be provided later)
Scenario Information
Case Summary:
25 year old male walks into triage with multiple stab wounds. Agitated, in pain, pale and diaphoretic, place on stretcher and rushed to Trauma bay. Called stat to trauma bay. Stab wound to upper central abdomen and left posterior chest and left thigh.
Becomes SOB and hypotensive – tension pneumothorax requiring decompression
Requires OR for abdominal stabbing with hypotension
Situation is very chaotic as patient as agitated ---Perhaps we could insert some nurse or girlfriend agitators to excite the situation
Target Learning Groups:
Physicians, Nursing, Interprofessional Team
Additional Target Learning Groups:
Proposed Setting:
Emergency Department
Educational Goals:
Priorities in penetrating trauma
Differential diagnosis of hypotension in stabbing victim
Behavior control of agitated trauma patient
Establish Priorities in a multiple stab would patient
Direct team of EPs, RNS, RTs and residents
Intubation and sedation
Ultrasound – extended fast
Decompression of tension pneumothorax and insertion of chest tube
Peer Review Information
Clinical Content Peer Review
Clinical Content Reviewer: Unknown Reviewed on: Unknown
Notes on Clinical Content Peer Review:
Unknown
Simulation/Educational Review
Simulation/Educational Reviewer: Unknown Reviewed on: Unknown
Notes on Simulation/Educational Peer Review:
Unknown
Simulation/Educational Real Time Review
Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown
Notes on Simulation/Educational Real Time Peer Review:
Unknown
Extra Information
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