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Multiple Stabbings "Minding my own business" - Printable Version

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Multiple Stabbings "Minding my own business" - CHolmes - 12-07-2020

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 (Has not been peer reviewed or the information will be provided later)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


     Additional Details:

     ­

     References:

     ­

     Scenario Links:

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     Additional Tags: 




If you would like further information about this scenario please contact simulation@interiorhealth.ca or leave a comment below.