SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Blunt chest trauma with shock

A 46-year-old man is brought to the resuscitation bay following a 3-metre fall from a work platform onto a horizontal metal railing. He complains of central chest pain. He is clammy and diaphoretic with a chest wall contusion. There are no other obvious injuries. Vital signs: BP 84/50, RR 24, SpO₂ 99% RA, GCS 15. A 12-lead ECG is provided.

Blunt chest trauma with shock

1. List three abnormal features of his ECG. 3 marks

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2. List three potential non-haemorrhagic causes of shock in this trauma patient and describe your expected POCUS findings for each. 6 marks

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The eFAST is negative

3. Outline six immediate priorities in the ongoing care of this patient. 6 marks

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4. List three regional anaesthesia techniques which may be used for rib fracture-associated pain management. 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.