Motor Vehicle Accident with Blunt Cardiac Injury

You are the day time anaesthetist on for trauma calls at a major trauma hospital. You have been asked to attend a trauma call in the Emergency Department for a 68-year-old woman after a motor vehicle accident earlier today. The patient was driving on the highway and her car crashed into a tree. She has a past history of hypertension, previous TIA and previous DVT. Currently she is alert and talking with a GCS of 15. Her BP is 130/80, HR 110bpm and SO2 95% on 6L via Hudson mask. This is her Chest X-ray on admission.