SAQ 964 – Paediatrics – blunt facial and neck trauma with CTA images

Marked out of 15.00

An 11-year-old boy arrives by ambulance after a basketball stand collapsed onto the left side of his face, head and neck, trapping him for several minutes. He was unconscious during that time.

He is sitting on the ambulance trolley with limited mouth opening and two large left through-and-through cheek lacerations requiring continuous oral suctioning for bleeding. There is left neck swelling and linear bruising over the left anterior neck, and he is not moving his neck because of pain.

CTA images are shown below.

Observation Value
GCS 15 and moving all four limbs to command
Pulse 78/min
BP 110/65 mmHg
RR 16/min
SaO2 99% on room air
CT face axial and coronal views for the trauma scenario.
CT face axial and coronal views.
Sagittal CT angiogram image for the neck trauma scenario.
CTA sagittal view.
Coronal CT angiogram image for the neck trauma scenario.
CTA coronal view.

Outline important aspects of the child's initial management.

(Marked out of 10.0)


/ 10

A CT angiogram is performed. List five pertinent findings.

(Marked out of 5.0)


/ 5

Total Score: 0 / 15

Percentage: 0%