SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Severe burns

A 28-year-old female is brought to your rural ED after dousing herself with accelerant, then setting herself on fire. She has extensive burns. Paramedics have given her 60mg IM ketamine, however she is still screaming in pain. They have been unable to establish IV access.

1. Outline the differentiating clinical features of superficial, partial and full thickness burns. 3 marks

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On your assessment you find: A – Soft stridor B – Restricted chest wall movement, RR 22, sats 99% on 10L Hudson mask C – HR 115, BP 110/80, strong radial pulses, hands slightly cool D – GCS 15, PEARL E – Partial or full thickness burns to the entire head and face, entire anterior and posterior trunk including the buttocks, the entire left leg. The arms and right leg have only small patches of superficial burns. Pulses in the left foot are absent and no cap refill in the toes. Temp 35.1

2. Briefly outline (6) important steps in your management of this patient. 6 marks

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3. Other than stridor, list (3) indications for urgent RSI in the context of burns. 3 marks

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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.