Author: Mohomed Ashraf Vahedna / Editor: Sarah Edwards / Codes: RP4, SLO1, SLO2, SLO4, TP3, TP5 / Published: 20/11/2023

A 35-year-old pregnant woman comes in on her own after a road traffic collision in hours on a weekday.

She was driving and was travelling at around 50 mph when she hit the car in front of her and had to stop her car abruptly. She was wearing her seatbelt and her airbags were deployed. No deaths were reported in the collision

The patient complains of abdominal pain on arrival and has vomited once.
She is currently 34 weeks pregnant with no problems during her pregnancy. Her previous pregnancy went smoothly. She does not drink or smoke and has no medical history.

Her obs are as follows: BP: 100/83, RR: 20/min, SpO2: 99%, HR: 100/min

On examination:

GCS 15
Moving her neck freely and no obvious neurological deficit
No external signs of a head injury
No chest wall bruising but tender on palpation over the sternal region
Some central abdominal bruising with mild tenderness
No pelvic tenderness and her long bones examine normally. She has no active PV bleeding.

The patient is given 5 mg IV morphine after paracetamol and ibuprofen and she says her pain is around 3/10.