A patient is brought to the hospital following an ATLS assessment after a horse riding incident.
a) Discuss the role of ATLS during the “golden hour”, its impact on the patient care pathway, and the concept of trimodal distribution of death.
b) When the patient arrives in the emergency department they are imaged in the resuscitation room using conventional radiography of the chest and abdomen. The images are “hot reported” by an advanced practitioner radiographer.
i) In relation to current guidelines critically evaluate the role of conventional imaging in trauma radiography for the scenario
ii) Discuss the additional level of training and responsibility required for a radiographer undertaking an advanced practitioner role in conventional reporting
c) Conventional imaging proves inconclusive in the detection of free abdominal fluid. Critically evaluate the roles of Ultrasound and CT imaging in this respect
Total 30 marks
Scenario: It is early Saturday evening on a foggy winter’s day. There is a radiographer working with you however they are currently on ICU completing 3 mobile chest examinations and you are the Band 5 radiographer working single-handed in the A&E X-ray dept. Your hospital is a major trauma centre within the Major Trauma Network and you receive a Major Incident alert. There has been a multi- vehicle pile-up on the motorway, about 6 miles away from your hospital. Many of the vehicles involved belong to fans who were returning home to Leeds after a Premier League football match. At the time the incident is declared, there are thought to be up to 15 people dead or seriously wounded, approximately 20 severely injured casualties; plus many others who have sustained minor injuries. A major incident was declared by the senior officer on site. Your hospital is one of the first hospitals to be notified.