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Short Answer Questions for ED Fellowship Study

Case: Open disclosure

A registrar in your Emergency Dept has attempted to place a central venous catheter (CVC) in the internal jugular vein of a patient in septic shock. You become aware that a procedural error has occurred when the emergency alarm is sounded and you find the registrar applying pressure to the neck of the patient. They state “I think I punctured the carotid artery and the patient is having a stroke”. A rapid examination confirms the registrar’s suspicions.

1. State (4) specific IMMEDIATE priorities, aside from an open disclosure discussion, on your arrival to the resuscitation cubicle. (4 marks) 4 marks

★ ★ ★ ★ ★

2. List (5) benefits of open disclosure approach to clinical procedural errors. (5 marks) 5 marks

★ ★ ★ ★ ★

3. List (3) examples of a sentinel event. (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.