SAQ 540 – Trauma – rural pelvic injury with haemorrhagic shock

In a rural ED you receive ambulance pre-notification of a 24-year-old man involved in a motorcycle crash with right abdominal and pelvic injuries. ETA is 10 minutes. On arrival he remains shocked despite 2 litres of normal saline and has severe right lower abdominal and pelvic pain. eFAST is negative and CXR is normal. Pelvic X-ray is shown below.

Observation	Result
GCS	15
Heart rate	130/min
BP	75/45 mmHg
SpO2	98% room air
Respiratory rate	24/min
Temperature	35 C

List four (4) important preparations before his arrival.

(Marked out of 4.0)

/ 4

List four (4) initial management priorities for his injuries.

(Marked out of 4.0)

/ 4

List three (3) relevant findings on the pelvic X-ray.

(Marked out of 3.0)

/ 3

List four (4) important priorities in managing his shock.

(Marked out of 4.0)

/ 4

List two (2) physiological and three (3) pathological aims of resuscitation or massive transfusion.

(Marked out of 5.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Aim type</th> <th>Aim</th> </tr> </thead> <tbody> <tr> <td>Physiological 1.</td> <td></td> </tr> <tr> <td>Physiological 2.</td> <td></td> </tr> <tr> <td>Pathological 1.</td> <td></td> </tr> <tr> <td>Pathological 2.</td> <td></td> </tr> <tr> <td>Pathological 3.</td> <td></td> </tr> </tbody> </table> <p>

/ 5

State the definition of massive transfusion for adults and for children.

(Marked out of 2.0)

/ 2

Total Score: 0 / 22

Percentage: 0%