Larry Shane Dickerson: Crash Trauma, Subdural Hematoma, and Aortic Injury

Larry's broken leg is only one part of a larger trauma case involving head bleeding, airway injury, and aortic injury.

Larry Shane Dickerson is documented in the episode medical notes with diagnosis: Broken leg, Subdural hematoma, Spinal stenosis, Tracheal injury, Aortic transsection. Treatment listed for the case includes Surgery. *Diagnosis: **Broken leg **Subdural hematoma **Spinal stenosis **Tracheal injury **Aortic transsection *Doctors: **Derek Shepherd (neurosurgeon) **Erica Hahn (cardiothoracic surgeon) **Preston Burke (cardiothoracic surgeon) **Callie Torres (orthopedic surgery resident) **Cristina Yang (surgical intern) *Treatment: **Surgery Larry, 86, came into the ER after running his car into a fish market. He had a broken leg and a head injury. He had air in his mediastinum and a subdural hematoma. Derek also noted that he had spinal stenosis, advanced to the point where he probably couldn't feel his feet at all, meaning he shouldn't have been driving. They took him into surgery. There were complications when Erica found a tear in the aorta while doing the tracheal repair, but she was able to repair the aortic transsection and finish his surgery.

Elderly Crash Trauma, Subdural Hematoma, and Aortic Injury

A real team would perform trauma primary survey, neurologic assessment, extremity evaluation, chest imaging, vascular imaging when indicated, and operative reassessment.

Management may include fracture care, neurosurgical monitoring, tracheal repair, aortic repair, blood pressure control when appropriate, and ICU monitoring.