You are the retrieval doctor at a pre-hospital scene after a single-occupant rollover motor vehicle crash. The driver has been trapped for 2 hours with both legs compressed by dashboard and steering-column intrusion. He also has chest and head injuries with GCS 7.
What pathophysiological consequences may follow rapid release of his legs?
(Marked out of 2.0)
/ 2
What therapies could mitigate these consequences?
(Marked out of 3.0)
/ 3
After arrival at a nearby trauma centre, bilateral lower-leg compartment syndrome is suspected. Outline a technique for measuring compartment pressures.
(Marked out of 4.0)
/ 4
What pressure threshold would confirm suspicion of compartment syndrome?
(Marked out of 1.0)
/ 1
The creatine kinase is 7000 IU/L and the renal registrar requests mannitol to reduce tubular renal injury. List three disadvantages or adverse effects of mannitol in this context.
(Marked out of 3.0)
/ 3
Total Score: 0 / 13
Percentage: 0%
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