Trauma SAQ 1

A 15 year old male has been brought in to the resuscitation room of a trauma centre by ambulance. He has a large wound to his neck, and no other obvious injuries. He is awake and alert.

Observations

P100

BP 100/70

RR 22

Sats 99% RA

 

Question 1

Which zone of the neck does this injury involve? (1)

 

Question 2

Can you define the boundaries of this zone? (2)

 

Question 3

List 4 HARD clinical signs that would mandate immediate transfer to the operating theatre for urgent mandatory exploration? (4)

 

Question 4

Assuming that there are no hard signs present and he is stable, what would be the ideal next radiological investigation of choice in this case? (1)

 

Additional Resources on Penetrating Neck Trauma

Clinicalmonster.com

EM Crit Podcast

East.org Guideline

Becky’s Revision Notes

 

 

 

Anaesthetics SAQ 1

 Pre-Accident (patients Employment ID Card)

Post Intubation in ED

 

A 24 year old woman is BIBA after being involved in a head on MVA at high speed. She was the unrestrained driver travelling at high speed. She was agitated and confused (GCS 10), with Cspine precautions in situ on arrival.

 

Observations PRE-INTUBATION

P 130

BP 90/60

Sats 91% (FI02 1.0)

RR 28

Temp 35.6

 

Question 1

The decision is made to intubate. What are the factors that will make safe intubation with an RSI more difficult in this case ? (Max 6 )

 

Question 2

State the measures that you will employ to improve your chances of successful first pass intubation without complications? (Max 7)

 

Question 3

First pass intubation appears successful, how will you confirm the correct position of the ETT? (Max 3 )

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