Arrival Alfred

• + 95 minutes

• HR 155, SBP 200/, CMV, GCS 3 Sp02 85%; Temp 35.4

• Urgent laparotomy

  • Grade 4 spleenic lac, involving hilum
  • splenectomy
  • epigastric hernia repair

• # ribs with HPtx, Rx ICC

• # L2,3 transverse process

• L knee ligamentous injury

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