Victorian State Trauma System

Major Trauma Guidelines & Education – Victorian State Trauma System

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Moderated Tutorials

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This tutorial meets a young man who was skateboarding and fell backwards, hitting his head. It is designed to focus on the principles behind the early management of a severe traumatic brain injury while minimizing secondary insults. The intended audience is clinical staff involved in the initial management of major...

This tutorial is a continuation of the TBI patient scenario from Moderated Tutorial 1. The focus is the early recognition of neurological deterioration. Additional management points in consultation with a neurosurgeon are discussed including transfer requirements.

This tutorial meets a young man who was skateboarding and fell backwards, hitting his head. It is designed to focus on the principles behind the early management of a severe traumatic brain injury while minimizing secondary insults. The intended audience is clinical staff involved in the initial management of major...
This tutorial is designed to focus on resuscitation priorities for trauma patients in cardiac arrest over conventional cardiopulmonary resuscitation methods. We meet a 25 year old male involved in an MVA who arrests on transfer to the ambulance stretcher. The intended audience is clinical staff involved in the initial management...
This tutorial is based on an older patient who has suffered a low fall (<1m). It is designed to focus on the principles of initial management multi-trauma in an older person with an emphasis on respiratory & haemodynamic compromise. The intended audience for this scenario are clinical staff involved in...
This tutorial is designed to focus on the principals of trauma care in the obstetric patient. The case scenario involves a woman involved in an MVA who collided with a concrete safety barrier at approximately 85kms/hr. She is 35 weeks gestation & presents c/o abdominal pain.  The intended audience is clinical...

This tutorial is designed to focus on rapid assessment and identification of actual or immediate life threats from facial trauma. This includes airway management principles and preparation for the difficult intubation. The intended audience is clinical staff involved in the initial management of major trauma patients.

This tutorial focuses on the trauma patient who is further complicated by submersion or drowning. It identifies potential airway and breathing complications as well as discusses rewarming techniques. The intended audience is clinical staff involved in the initial management of major trauma patients.

Here we meet a 24 year old whose arm has been caught in a machine at work. This tutorial focuses on complications due to a crush/entrapment injury, assessing viability of the limb and referral to an appropriate service for definitive care. The intended audience is clinical staff involved in the...
This tutorial is designed to focus on the principals of trauma care in the bleeding patient. Discussion will involve identification and management of shock as well as volume replacement including massive transfusions protocols. The intended audience is clinical staff involved in the initial management of major trauma patients who are...
This tutorial introduces Gracie, a 14 month old child who rolled off the couch and has suffered a head injury. Principles of assessment of the child with a head injury is discussed including age appropriate methods, as well as taking a thorough history of the incident. The intended audience is...
This tutorial is designed to focus on the principles behind the early management of a multi trauma patient in country Victoria with limited resources available. We will explore both patient management and the decision making processes involved in the management of blunt abdominal trauma post collision with a jet ski....
This tutorial is designed to focus on preparing the trauma patient for retrieval from a small rural emergency department and large urgent care centers to the Major Trauma Services. The intended audience is clinical staff from these facilities and the clinicians from larger centres who interact with them. Emphasis is...
This tutorial meets a farmer, trapped underneath a quad bike for an unspecified amount of time. Focus is placed on the principles behind the early management of a multi-trauma patient where entrapment is involved and resources are limited. The intended audience is clinical staff involved in the initial management of...
In this tutorial we meet a young electrician, found unconscious near the generator he was repairing. Emphasis is placed on identification of initial hospital management including identification of cardiac dysrhythmias, compartment syndrome and management to include adequate fluid resuscitation. Once identified that the patient is suffering from a major burn,...

This tutorial is designed to focus on effective teamwork and communication in the early management of trauma patients and working together in teams. The intended audience is clinical staff from small rural emergency departments and large urgent care centres.    

In this tutorial we meet a 49 year old cyclist who has lost control on a corner while travelling at 60km/hr. and immediately complains of R) sided chest pain. Focus is placed on the rapid assessment and management of chest injuries in order to detect and treat actual or imminent...
This tutorial meets a 68 year old male involved in a blast injury in a rural area. It focuses on the mechanism and characteristics of blast injury that can lead to both penetrating and blunt trauma, and their management. Rapid assessment and management of the trauma patient in order to...

This tutorial is designed to focus on the principles behind the initial management of a bariatric major trauma patient in the hospital setting and looks at understanding the anatomical and physiological differences. The intended audience is clinical staff involved in the initial management of major trauma patients.

This tutorial is designed to focus on the principles behind the pre-hospital management of a bariatric major trauma patient. We meet Jim who was involved in an MVA and is trapped in the vehicle. Trauma in the bariatric patient adds another aspect of complexity to the management of a major...
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