SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Blunt abdominal trauma

A 28-year-old man is brought into your tertiary ED having been witnessed to jump from a 2nd storey balcony (approximately 9 metres) landing onto a concrete driveway below. There was no report of head strike, however, he was found confused, agitated and complaining of back pain. On arrival his vitals are as follows :

  • GCS 14
  • HR 130
  • BP 85/65
  • RR 26
  • Sats 95% on 15L/min NRB
  • Temp 35.7°C

Blunt abdominal trauma

1. Give (4) ultrasound findings that can help determine the cause of hypotension in this patient. (4 marks) 4 marks

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2. List (4) principles of haemostatic resuscitation. (4 marks) 4 marks

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3. What is your interpretation of the CT? (1 mark) 1 mark

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4. List (3) possible management strategies for this CT finding, providing justification for each. (6 marks) 6 marks

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5. Give (3) advantages of TEG/ROTEM in managing the shocked trauma patient. (3 marks) 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.