Bendigo emergency department staff undertaking training in a simulated trauma scenario.
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00:00Daniel, you're just in the hospital.
00:25Well, good going to see you, felt fine.
00:29Our odds, we've got a restricted free rate of 18.
00:32He's sat 95% room air initially, has dropped to 92%,
00:37so we've popped on some nasal foam.
00:41Daniel, are you able to, we're just going to hold your hands,
00:44are you able to give both our hands a big squeeze?
00:47Yeah, you're squeezing.
00:48Yeah, and wriggle your toes.
00:49He's doing that too.
00:50Are you able to lift your left leg up?
00:51He's done that.
00:52And lift your right leg up?
00:53He's done that.
00:54Yeah, beautiful, okay.
00:56Alright guys, so a quick summary.
00:57It sounds like we've got a significant mechanism of injury
01:00on the pre-notification, but at the moment,
01:02our ABCD is intact, no obvious life threats.
01:05I think the next priority is going to be getting some imaging
01:07on this man to see if we've missed anything.
01:09So why don't we get ready over for you in the room.
01:12We can just do a chest and pelvis, and then if that's okay,
01:14we'll go through to the CT scanner.
01:19What's happening, where am I?
01:21What's going on?
01:27What's your name, Daniel?
01:29About a five, six.
01:31Where is it?
01:33Just in my chest.
01:35It feels horrible.
01:37Can we just do a...
01:38Alright.
01:39Headstand on.
01:40We're going to go ahead and do a rhythm check.
01:42Alright, we'll continue with the pressure.
01:44I'm going to get set up.
01:45Oxygen away.
01:46All others ready for intubation.
01:48Charging.
01:52Hands off.
01:53I'm there.
01:54Alright.
01:55Alright.
01:56Shockable rhythm.
01:57Intubate now.
01:58Stop.
02:00Continue compressions.
02:02Okay.
02:03Maddie, you can manage here a little bit later.
02:05Michael, do you mind calling the cardiologist?
02:07Sarah.
02:11Are you happy that the brakes are on, guys?
02:13Hi, I'm the under-injury service.
02:15Could you start a hand for a second?
02:17ECG.
02:21At the moment, we...
02:22Our priority is to have a secure airway
02:24and notify cardiologists as soon as we can.
02:29We've got Michael calling the cardiologist.