. . . Unconscious female, unknown identity, brought in by ambulance 09:05. Neighbour called emergency services to flat at 3 Völund Street.

Circulation

Pale, cool peripheries. Pulse 110, regular. Weak/thready, BP 95/60

Disability

Unconscious (AVPU scale). No response to voice or painful stimuli.

Exposure

Multiple lacerations to the back, approximately 10–30 cm in length, recent origin. Small abrasions and bruises to face. Large swelling, lateral aspect of left proximal humerus.

Abdomen

Tense/rigid.

Impression

Female, approx. 20 yrs, injuries consistent with multiple external violence (inflicted with whip?).

Shocked, signs of decompensation.

1. Likely intra-abdominal bleed, splenic source

2. Fracture left humerus.

Plan

Transfer to ITU for continued care. . .