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Short Answer Questions for ED Fellowship Study

Case: Blocked tracheostomy with haemorrhage

A patient with amyotrophic lateral sclerosis presents with sats of 75%, central cyanosis and poor respiratory effort. He has a tracheostomy in situ with bloody sputum visible at the site.

1. List five initial steps in your approach to this situation. 5 marks

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Patency of the patient’s tracheostomy is achieved, however, the bleeding from the site has become significantly worse.

2. List two possible causes of bleeding from the tracheostomy site. 2 marks

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3. Outline five priorities of your ongoing management. 5 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.

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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.