SAQ 1141 – Paediatric elbow injury with procedural sedation planning

A 4-year-old girl weighing 16 kg is brought to the ED after a fall and complains of left elbow pain. The two elbow X-rays are shown below.

State two (2) important findings on the elbow X-rays.

(Marked out of 2.0)

/ 2

List the typical order of ossification on a paediatric elbow X-ray.

(Marked out of 6.0)
Order | Ossification centre<br /> 1st |<br /> 2nd |<br /> 3rd |<br /> 4th |<br /> 5th |<br /> 6th |

/ 6

List two (2) nerves that may sustain neuropraxia as a complication of this injury.

(Marked out of 2.0)

/ 2

List three (3) pharmacological agents other than ketamine for initial analgesia, including dose and route.

(Marked out of 3.0)
Pharmacological agent | Dose and route<br /> 1. |<br /> 2. |<br /> 3. |

/ 3

Sedation is required to place a long-arm back slab. Complete the ketamine procedural sedation table.

(Marked out of 10.0)
Item | Intramuscular | Intravenous<br /> Initial dose | |<br /> Peak effect | |<br /> Duration of action | |<br /> Two advantages | |

/ 10

Total Score: 0 / 23

Percentage: 0%