SAQ 864 – Trauma – shock after fall from height and massive transfusion

A 78-year-old man presents after falling from a ladder. He has head and abdominal injuries, a bleeding scalp wound, BP 85/60 mmHg, HR 130 irregular and GCS 10 after 1 L of normal saline.

List four important medication classes that may alter assessment or management.

(Marked out of 4.0)

/ 4

List four possible causes of hypotension and the most effective way to diagnose each in the resuscitation room.

(Marked out of 4.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Cause</th> <th>Immediate diagnostic method</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> <tr> <td>4</td> <td></td> </tr> </tbody> </table> <p>

/ 4

List five common components of a massive transfusion pack.

(Marked out of 5.0)

/ 5

Apart from normal INR and APTT, list five targets for adequate coagulation.

(Marked out of 5.0)

/ 5

Total Score: 0 / 18

Percentage: 0%