ACPIC 2020: Major chest trauma


In October 2020, ACP was pleased to deliver our first fully online and interactive paramedic conference. The conference attracted over 1100 attendees, 60 speakers and 36 sessions.

Presented by: Michaela Malcolm, MICA Flight Paramedic, Air Ambulance Victoria and Dr John Moloney, Head of Trauma Anaesthesia

Last year (2019), Trent, a 30 year old supervisor for bulk earthworks in a quarry, was crushed between a huge wheel and chassis of a large truck 80km south east of Melbourne.

Trent sustained a major chest injury and presented to ambulance crews conscious but severely hypoxic and rapidly deteriorating.

A number of difficult and unexpected clinical problems were encountered during his management.

Trent’s primary injury (discovered at hospital) is uncommon and there are few documented cases of survival.

The case highlights the need to have processes in place to deal with cognitive overload and is an incredible story that demonstrates the importance and privilege of what we do as heath care professionals.

Michaela Malcolm presents on the pre hospital management, and Dr John Moloney, Head of Trauma Anaesthesia, talks about the in hospital care of Trent.


Michaela Malcolm has been a paramedic with Ambulance Victoria for 17 years, 8 as an Intensive Care Paramedic and 2 as an Intensive Care Flight Paramedic, one of two first females to work on Victorian HEMS. She has worked on road in both metropolitan Melbourne and regional Victoria and is now based at Bendigo on HEMS 3. Growing up in the bush near Marysville, she spends any spare time outdoors usually on a mountain bike.

Dr. John Moloney, Head of Trauma Anaesthesia, Alfred Hospital, Melbourne

Presented by Michaela Malcolm & Dr John Moloney



20 minutes
2nd Feb 2021
Member free
Non-member $19
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