SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Frailty and goals of care in geriatric trauma

You are the consultant working in a major trauma centre when an 85 year old man is brought in by ambulance from home after a fall. He undergoes CT imaging which reveals 2 right sided rib fractures as well as a right sided neck of femur fracture. The patient had been treated by his GP for a urine infection over the last 4 days. You learn this is his 3rd fall in 2 months.

  • HR 75bpm
  • BP 135/72 mmHg
  • RR 15
  • SpO2 94% on room air
  • GCS 14 (E4V4M6)

1. State a definition of frailty. (1 mark) 1 mark

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2. Complete the following table outlining how ageing can impact the A to E of trauma assessment and a clinical implication of each. (10 marks) 10 marks

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3. State (7) factors you will take into consideration when planning a discussion on goals of care for this patient. (7 marks) 7 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.