MedBugs: SAQ #258

Case: Pelvic trauma with haemorrhagic shock

A 34-year-old man is brought to a tertiary ED after being hit by a car while crossing the street.

Pelvic trauma with haemorrhagic shock

1. Describe the abnormalities shown on the pelvic X-ray. 3 marks

An image from the RUQ view of his FAST scan is provided.

2. Interpret the FAST scan image. 1 mark

Question image

His CXR is normal and his vitals are as follows : GCS 13 (E3V4M6) HR 140 BP 70/50 RR 24 Sats 99% RA

3. List three end-points you would target during initial resuscitation. 3 marks

4. State 3 differences between ROTEM-guided and ratio-guided resuscitation. 3 marks

5. State six factors you would consider when deciding whether to perform a CT scan, including the relevance of each. 6 marks

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