In anticipation of episode number 39, an update on trauma pearls and pitfalls, we have with us, Dr. Dave McKinnon from St. Michael's Hospital in Toronto, TTL.

He's going to tell us about his best case ever when it comes to multiple trauma.

Thanks, Anton.

One memorable case that comes to mind, and I should preface it by saying that our weekly trauma rounds, somewhat recently before this case, we had talked about trauma patients that

gets CPR and really the dismal outcome, whether they're blunt or penetrating.

Late one Saturday night. Got a call then or a warning, heads up from the triage nurse, whether they're blunt or penetrating. Late one Saturday night.

Got a call then or a warning, heads up from the triage nurse, that a patient was coming,

a 19-year-old male that had been stabbed in the lower abdomen, and they were bringing him in,

and he had a very faint pulse.

And when they rolled through the door, the setup of our trauma room is they come up

the ambulance bay and they open this double set of doors into the trauma room and they're just at

the end of the ambulance bay and you can see. And of course, when they opened up the door and they

said the patient's here, you know, the first thing we always look for is what is the patient at first

glance. And of course they came up and I could see they were doing CPR.

So thinking about this recent talk and how dismal, we thought, well, let's see what we can do for this person.

And, you know, it's not looking very good.

They brought them in.

And somebody was holding down by the left groin.

It actually wasn't a lower abdomen stab.

It was the left groin. It actually wasn't a lower abdomen stab. It was the left groin.

And the patient was absolutely pouring blood out of their left femoral area.

And it was pretty clear to me they had obviously a major injury.

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