unusual case

[Michael Stein M.D.]

Not enough cuts from the CTA but...
If Neuro don't want him STAT in the OR, perform FORMAL Arch + 4 vessel
Angiography and go on from there.
Mickey

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of daniel simon
Sent: Thursday, May 01, 2008 6:29 PM
To: trauma-list at trauma.org
Subject: unusual case

43 year old motorcycle crash victim , on scene intubation for GCS of 5. On
admission intubated and ventilated, B.P 130/80 P 82 sat 100% , GCS 7 (T) .
PE: skin lacerations and  central hematoma anterior neck - zone 1.
Head CT - SAH, Frontal contusions,small Frontal SDH, many skull fractures.
C-spine:  fracture of C1
Chest XR and relevant cuts from the chest  CTA included.
Abdominal CT normal
What would you do now?