2. PATIENT DETAILS
• Name: SATHIYA
• Age : 32/F
• Hospital no : J-298244
• Time of arrival : 1.34AM
• Time of death : 1.50 PM
• Duration of stay in ED : 16 MINUTES
4. PRESENTING COMPLAINTS
• A 32-YEAR-OLD FEMALE WAS BROUGHT TO ED WITH ALLEGED H/0
RTA (2W VS 4W) 2W PILLION RIDER
• DOI:01/06/22
• TOI:9.40AM
• POI:KOTHATHAI
• h/o loc+
• h/o right ear bleed
5. PRIMARY SURVEY
• AIRWAY
PATIENT WAS INTUBATED OUTSIDE WITH 7.5mm CUFFED ET TUBE IN
THE VEIW OF POOR SENSORIUM DOPE NEGATIVE
• C SPINE IMMOBILISED WITH C COLLAR
• BREATHING
• RR-PT WAS ON HAND AMBU
• SPO2:NR BAE+
• NO SUBCUTANEOUS EMPHYSEMA
• TRACHEA MIDLINE
6. • CIRCULATION
• PR-60 ON CENTRAL PULSE,PERIPHERAL PULSE ABSENT
• BP-NR CRT->3SEC S1S2+,NO DISTENDED NECK VEINS
• NO ACTIVE BLEEDING ,PELVIC COMPRESSION NEGATIVE
• RX
• 2 LARGE BORE IV LINES
• 2 PINT IV CRYSTALLOIDS STAT
• O NEGATIVE PC REQUESTED
7. • DISABILITY
• GCS-E1VTM1
• B/L PUPILS DILATED AND FIXED
• RBS-118
• EXPOSURE
• Afebrile, no obvious spinal deformity, P/R – no bleed
• ADJUNCTS:
• Efast :b/l lung sliding +,no ffa,no pericardial effusion
• No known co-morbidities
8. • G/E :P ++ I-C-C-L-E –
• S/E
• HEENT :RIGHT EAR BLEED
• CVS: S1S2+,NO MURMUR
• RS:BAE,CCT-NEGATIVE
• ABD:SOFT & NT
• CNS:E1VTM1,B/L Pupils dilated and fixed
• L/E-abrasion of size 2 * 3 cm Right forehead
• R ear bleed, swelling over Right temporo parietal region
• Multiple abrasion over b/l upper limbs
9. DIAGNOSIS:RTA/POLYTRAUMA/SEVERE TBI
• Rx
• AT 1.40 PM PATIENT SUSTAINED CARDIAC ARREST
• CARDIAC MONITERS SHOWED AYSTOLE
• CPR STARTED AS PER ACLS PROTOCOL
• EVEN AFTER 4 CYCLES of CPR ROSC WAS NOT ACHIEVED
• HENCE PT WAS DECLARED DEAD AT 1.51PM
10. POSTMORTEM FINDINGS
• DIFFUSE SUBDURAL HEMORRHAGE PRESENT OVER THE LEFT
HEMISPHERE.LEFT TEMPORAL CONTUSION OF SIZE 8CM *6CM
PRESENT OVER THE BASAL AND THE LATERAL SURFACE OF LEFT
TEMPORAL LOBE.RIGHT TEMPORAL BONE FRACTURE
• CAUSE OF DEATH:HEAD INJURY BY HARD AND BLUNT FORCE TRAUMA
