0730 AM
ST. PACKING LEVEL ONE TRAUMA CENTRE
A call breaks the quiet of the early morning trauma room. The on scene paramedics inform you that they are with a 26 year old male who was the restrained driver (no airbag) of a saloon car that had an argument (at 50mph / 80kph) with a telegraph pole and lost. The driver has been trapped in the car for around 30 minutes but is now free and has an open leg wound that is bleeding copiously and he is somewhat aggressive (Glasgow Coma Score 14 - E4V4M6. They will be with you in ten minutes.