SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Rural open fracture

A 34-year-old man has been brought to your rural ED after falling out of a tractor on his farm. He has sustained an isolated injury to his right lower limb.

Rural open fracture

1. a) List (6) features of the Gustilo Classification for open fractures. 6 marks

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2. b) State (6) treatment priorities for this patient’s lower limb injuries. 6 marks

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Atier your initial management, one of the nurses alerts you that the patient’s foot looks more pale than it did before, with reduced dorsalis pedis pulse. Your hospital CT scanner is currently being repaired and unavailable for use. You decide to perform an arterial pressure index utilising a bedside doppler US device.

3. c) Please complete the following equation. Arterial pressure index (API) = 1 mark

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4. d) Please state (4) steps in performance of API of the injured lower limb. 4 marks

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5. e) What API would be indicative of likely arterial injury? 1 mark

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.