SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Paediatric femoral shaft fracture transfer

An 11-year-old girl presents to your rural emergency department after a car accident. An X-ray of the left femur is shown :

Paediatric femoral shaft fracture transfer

1. State the main abnormality seen on the Xray. (1 mark) 1 mark

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2. List (2) immediate concerns relevant to this injury. (2 marks) 2 marks

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3. List (2) long-term complications associated with this injury. (2 marks) 2 marks

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You are provided a medical escort for her transfer to your local paediatric trauma centre 45 minutes away.

4. List (3) specific modalities to provide analgesia for the transfer (this is an isolated injury). (3 marks) 3 marks

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Initial resuscitation is carried out and it is decided to prepare for transfer. HR 140 BP 85/50 RR 25 T 36

5. Outline (4) steps you will take in preparation for transfer. (4 marks) 4 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.