SAQ 456 – Trauma – high-grade splenic injury and massive transfusion

Marked out of 16.00

A 55-year-old man falls three metres from a ladder onto concrete. He has severe abdominal pain. His observations and CT image are shown below.

Observation	Result
Heart rate	110/min
Blood pressure	100/55 mmHg
Respiratory rate	22/min
SpO2	100% on 6 L/min oxygen
GCS	15

CT abdomen showing splenic injury with free intraperitoneal fluid. — CT abdomen

What is the diagnosis? List three (3) CT features that support it.

(Marked out of 4.0)

/ 4

Compare conservative and operative management. Give three (3) advantages and three (3) disadvantages for each approach.

(Marked out of 8.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Approach</th> <th>Advantages</th> <th>Disadvantages</th> </tr> </thead> <tbody> <tr> <td>Conservative</td> <td></td> <td></td> </tr> <tr> <td>Operative</td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 8

State an appropriate massive transfusion component ratio and name one (1) study supporting balanced resuscitation.

(Marked out of 4.0)

/ 4

Total Score: 0 / 16

Percentage: 0%