SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Paediatric polytrauma with tension pneumothorax

A 13 month old girl has been taken to the ED by the ambulance service. She was run over in her family’s driveway by a reversing car at low speed. On arrival her vital signs are: AVPU responds to pain Pulse 180 /min

  • BP 70/40 mmHg
  • RR 60 /min
O2 sats 89% 15L via non-rebreather mask Cap refill 4 seconds Her chest X-ray is provided :

Paediatric polytrauma with tension pneumothorax

1. State the (2) main pathologies present providing (2) supportive radiographic features for each. 6 marks

★ ★ ★ ★ ★

2. Interpret the pelvic X-ray. 1 mark

Question image
★ ★ ★ ★ ★

FAST scan is negative. You intend to perform intubation with simultaneous inter-costal catheter (ICC) insertion.

3. State (3) potential difficulties that might be encountered. For each, provide a management strategy. 6 marks

★ ★ ★ ★ ★

4. List (5) safety steps in the performance of ICC insertion. Include the relevance of each. 5 marks

★ ★ ★ ★ ★
SAQ Home

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.