Obstetric Trauma at Regional Hospital

You are the on-call anaesthetist working at a regional hospital on a Saturday evening. You are requested to attend the Emergency Department as part of a Trauma Call activation. The ambulance service has pre-notified of the imminent arrival of a 25-year-old woman who is 32 weeks pregnant. She was the restrained driver in a car involved in a high-speed collision with a large tree at an estimated speed of 90 km/h. Pre-notification information from paramedics: Maintaining her airway SpO2 stable at 96% on oxygen via a non-rebreathing mask RR 22 breaths per minute and stable PR 115 beats per minute and stable BP 105/60 mmHg and stable GCS 15 and stable Complaining of severe abdominal pain Significant bruising across lower and left upper quadrant of abdomen The patient is estimated to be 15 minutes away and you have been requested to be the Team Leader at the Trauma Call.