Case report 1
| A 43-year-old man was transferred to a major trauma centre having sustained crush injuries to his pelvis following an accident on a building site. On arrival he was hypotensive and tachycardic, with a lactate of 5.3 and a normal haemoglobin obtained on a venous blood gas. Laboratory blood tests were sent and he was treated with intravenous tranexamic acid and transfused with 2 units each of packed red cells (PRBCs) and fresh frozen plasma (FFP). Computed tomography identified a splenic rupture and pelvic fractures with large amount of blood in his abdominal cavity. He was then urgently transferred to theatre for stabilisation of his pelvic fractures and management of his splenic injury. |