SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Minor head injury in toddler

A toddler is brought to your emergency department after a fall. The exact mechanism is unclear but was reported as a short fall at home. The child cried immediately and is now alert and interacting appropriately. There is a visible scalp swelling.

1. List (3) clinical features that would classify a child as very low risk for clinically important traumatic brain injury (ciTBI) according to the PREDICT guidelines. (3 marks) 3 marks

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2. List (3) clinical features that would place the child in the intermediate risk category for ciTBI. (3 marks) 3 marks

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3. In a well-appearing child with one intermediate risk factor, outline (3) key considerations influencing your decision to observe rather than perform an immediate CT brain. (3 marks) 3 marks

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4. List (3) elements that should be included in discharge instructions for a child with minor head trauma managed without CT. (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.

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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.