Motorbike Mayhem by Hinds

42,217 views
44,414 views

Published on

John Hinds delivers on his promise of ‘in extremis’ whilst exploring the unique patterns of injury seen in high speed motorcycle trauma.

0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
42,217
On SlideShare
0
From Embeds
0
Number of Embeds
36,826
Actions
Shares
0
Downloads
44
Comments
0
Likes
2
Embeds 0
No embeds

No notes for slide
  • TRISS Score = 2.1%
  • Motorbike Mayhem by Hinds

    1. 1. “Cases from the Races” John Hinds
    2. 2. Conflict of interest Dainese leathers Arai helmets Daytona boots Bridgestone Motul oil
    3. 3. Road racing = “Furniture”
    4. 4. Scene safety: Beware of fire • Immediate • Delayed • Missed – Fast burn, under pressure • Quickshifter
    5. 5. • **
    6. 6. Reading the scene • Treat the injuries you find • Treat the injuries you expect
    7. 7. Types of crashes
    8. 8. Commonest mechanism Single Vehicle Accident -Rider misjudges corner severity -Typically left-hand bend
    9. 9. “Low-side”
    10. 10. “High-side”
    11. 11. “Hit-by-the-bike”
    12. 12. 4 Mechanisms of concern • “He hit the Kerb” • Broken Feet, reduced LOC • Boot lying in the middle of the road • Head on collision, apparently isolated femur
    13. 13. “Hit the kerb”
    14. 14. “Hit the kerb” • Either a dead stop… • …or a big launch pad
    15. 15. “Hit the kerb”
    16. 16. “His helmet came off”
    17. 17. Examining the helmet • Careful with your assumptions
    18. 18. “Broken Feet, Reduced LOC” • Examining the helmet can over or underestimate mechanism Broken feet = Slid feet first = Fall from height – Think neck – Think Base of Skull
    19. 19. Clinical: Helmet removal
    20. 20. Helmet removal is safe! • 200 per year • No secondary neurological sequelae
    21. 21. Plan B.. ? “Failure to remove” = 1 : 2,000 ?
    22. 22. Surgical airway? • Conditions are poor - • Head flexed • Chinstrap in the way • Lots of bleeding • May be trapped under another vehicle
    23. 23. Failure to remove: Plan • Provide oxygen • Prevent hypercarbia • Access to the airway • Destabilise helmets structural integrity • Prevent harm
    24. 24. Careful!
    25. 25. Speed Humps
    26. 26. • With a speed hump in place the spine is not in-line in the neutral position • Intubation by direct laryngoscopy is impossible with a speed hump in place
    27. 27. “Head-on collision, apparently isolated Femur”
    28. 28. “Beware the boot lying in the road”
    29. 29. 4 Mechanisms of concern • “He hit the Kerb” • Broken Feet, reduced LOC • Boot lying in the middle of the road • Head on collision, apparently isolated femur
    30. 30. SPECTATORS
    31. 31. “BLOODY SPECTATORS”
    32. 32. “I’d like to thank all the staff at the Royal Victoria Hospital who helped me – in Intensive Care, the Surgeons, the nursing staff…”
    33. 33. “I’d like to thank all the staff at the Royal Victoria Hospital who helped me – in Intensive Care, the Surgeons, the nursing staff…” NIAS Paramedic: “That’s gratitude for you. How does he think he got there? On Santa’s F**ing Sleigh?”
    34. 34. Questions…?

    ×