5th September 2020

Thomas is a 17-year-old boy brought in by ambulance to A&E

Thomas is a 17-year-old boy brought in by ambulance to A&E, following a car accident. He is acting agitated and complains of right-sided chest pain and difficulty breathing. His airway is assessed as patent. The ambulance team report his vital signs as:

• Heart rate: 130 bpm
• Blood pressure: 105/75 mm Hg
• Respiratory rate: 32 breaths/min
• Temperature: 37°C

Thomas’s right hemithorax is silent on auscultation and stony dull on percussion. The concern is that Thomas has a massive haemothorax. No other life-threatening conditions are suspected. Which is the best team for the A&E doctors contact to discuss and/or handover the case?

Select the SINGLE most appropriate option from the list below. Select ONE option only.