Dr. Shane Broderick

Yeah, bicycle spokes and umbrella spokes as well because, again, they're easy to carry.

They're probably hard to find if they're up your arm sleeve or such.

But they're also, from a clinical point of view, they're harder for us to find and it's quite a kind of malicious thing when people think about this.

But they think about areas that we as clinicians find difficult to manage.

So people who get stabbed maybe in the armpits and the groins and the buttock

just over or under a collarbone.

And if that injury wound is big with a machete or something big, yeah, that's something that we can kind of get in and pack and such.

But sometimes if you get something as small as a bicycle spoke, we will struggle to even find it unless you pay really, really close attention to it.

And it might be just this little trickle of air or a little bubble of air or a little bubble of blood that you can see.

But that's an intentional thing to try and I suppose to try and catch clinicians out.

Yeah.

There's definitely a paucity when it comes to data.

Now, trauma data is collected and they made a trauma audit for 2025.

The data will be published next month if I'm not mistaken with that.

So we've got some degree of...

of data on penetrating trauma, but it doesn't, we don't get too much kind of, and we don't get a very in-depth analysis of it.

And ultimately where part of my job is in the emergency department, some of that data is not collected at all because to be included in a major trauma audit, you have to generate an inpatient episode and you've been in hospital for three days, have been in HDU or ICU, there's certain criteria, which means that many patients who come into hospital, we may ultimately save their life.

They may spend a day in hospital

They may stay two days in hospital, but they're gone before the third day.

So actually, they won't be featured in this major term audit.