SAQ 489 – Vascular – shocked elderly patient after abnormal abdominal CT

A 75-year-old man presents by ambulance with severe abdominal pain. A single slice from his abdominal CT scan is shown below. He deteriorates shortly after returning from CT.

Observation	Result
GCS	15 (E4 V5 M6)
Heart rate	120/min
Blood pressure	70/40 mmHg
Respiratory rate	22/min
SpO2	100% on 6 L oxygen via Hudson mask

State two (2) important abnormalities on the CT scan.

(Marked out of 2.0)

/ 2

What is your diagnosis?

(Marked out of 1.0)

/ 1

What observation end-points will you aim for?

(Marked out of 3.0)

/ 3

Prescribe your first bag of crystalloid.

(Marked out of 2.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Fluid</th> <th>Additives if applicable</th> <th>Rate mL/hr</th> </tr> </thead> <tbody> <tr> <td></td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 2

What four (4) pieces of history do you need to rapidly obtain?

(Marked out of 4.0)

/ 4

What are your three (3) immediate management priorities?

(Marked out of 3.0)

/ 3

Total Score: 0 / 15

Percentage: 0%