DEPARTMENT OF SURGERY

3RD YEAR
Chairman: Dr. Jan Michael V. Yap
Vice Chairman: Dr. Manfred Tabilog Regular
Faculty: Dr. Jon Francis Co, Dr. Dale Ross Duran, Dr. Dr. Nielsen Flordeliz, Dr. Michael Alan Simporios, Dr.
Eloise Ana Suan, Dr. Jessa Christine Surban-Vergara, Dr. Carlos Antonio Go, Dr. Aufel Marie Acero, Dr. Jose
Roberto Orlanda, Dr. Kristoff Armand Tan

MODULE 12: TRAUMA AND BURNS

DAY 2

Patient X, a 58-year-old, 60kg male was working as a janitor at Gullas College of Medicine Banilad and on April 29,
2024 at 9am he accidentally touched an exposed live wire left unattended by the construction team while he was
mopping. He hits his head as he fell, lost consciousness and was immediately brought the Emergency Department
for further management, where you were the Surgical Physician on duty.

Questions:
1. What is the proper format in the history taking for trauma patients?
2. Describe your approach in the initial assessment and resuscitation of the patient?
a. What is the proper sequence and how do you correctly perform Primary Survey
b. What is Secondary Survey?

* ASK RESULTS OF PRIMARY AND SECONDARY SURVEY FROM FACILITATOR

Anterior trunk: moist,

homogenously pink surface,
tender, with blisters and
blanches to touch R R

Anterior arm and forearm: dry, Posterior arm and forearm: dry,
red and mottled, nontender, red and mottled, nontender,
does not blanch to touch does not blanch to touch
 3. What is your complete diagnosis?
4. What will be your management and initial resuscitation?
a. Formulate Fluid therapy treatment
b. Describe your wound care treatment options
c. What medications will you give?
5. What ancillary tests will you order? And why?

After initial resuscitation, patient was then transported to a private room and was closely monitored. The next day
the nurse on duty referred to you that the patient had been complaining of numbness on his right arm. You went to
check on the patient where you noted that his right arm was tight and edematous, with pain elicited upon flexion of
the right wrist and absent radial pulse.

6. What is your impression?

7. How will you manage the patient?