• Severe trauma is managed with ABC resuscitation. Followed by CT or FAST ultrasound to diagnose and treat life threatening conditions such as tamponade. Pre-hospital diagnosis permits rapid accurate hospital surgery. Hypothermia prevention. Coagulopathy with transexamic acid, prothrombin complex concentrates, blood, fresh frozen plasma, freeze dried & secured plasma. Further blood products arranged at hospital, hematologist by telemedicine.
  • Acute abdomen evaluation with urinalysis, ßHCG, telemedicine, electronic stethoscope, ultrasound or CT may permit pre-hospital diagnosis, allowing antibiotics, consent, anesthetic assessment and quick precise surgery. DVT prophylaxis. Volvulus, intersusseption and strangulation need bowel necrosis minimization. In peritonitis  speed will limit complications.
  • Aortic dissection identified with CT, cardiothoracic surgeons contacted, consent organized and anesthetic assessment.
  • Acute arterial occlusion may be detected clinically, on CT, assessed peripherally with duplex ultrasound allowing anticoagulation as advised by telmedicine. Consent for embolectomy, intraarterial catheter directed thrombolysis or percutaneous transluminal angioplasty.
  • Upper gastro-intestinal hemorrhage resuscitation. Blood products and coagulopathic drugs may be considered in patients at risk.
  • Abdominal aortic aneurysm rupture is treated with ultrasound, CT, telemedicine, hospital preparation, consent and anesthetic assessment.
  • Abdominal compartment syndrome measurements commence immediately, avoiding delays.
  • Acute cholecystitis with perforation rapid antibiotics.
  • Acute mesenteric ischemia continues to require a perpetual state of suspicion.