SAQ 1486 – Major trauma with chest X-ray and hypotension

Marked out of 11.00

A 67-year-old woman is brought to the ED after falling from a second-storey roof. An initial chest X-ray has been performed.

Observation Value
GCS 15
Pulse 60 /min
BP 70/40 mmHg
Respiratory rate 16 /min
Oxygen saturation 99% on 2 L/min via nasal prongs

Pelvic X-ray and FAST are normal. There are no long-bone fractures or open wounds. She cannot move her legs and is awaiting CT to define her injuries.

Supine chest X-ray after major trauma.
Initial supine chest X-ray.

State the main pathology shown on the chest X-ray and give four radiographic features supporting it.

(Marked out of 5.0)


/ 5

What is the likely cause of her hypotension?

(Marked out of 1.0)


/ 1

Give two other traumatic differential diagnoses for her hypotension.

(Marked out of 2.0)


/ 2

After CT shows no significant haemorrhage, list management steps for her hypotension, including doses and endpoints where appropriate.

(Marked out of 3.0)


/ 3

Total Score: 0 / 11

Percentage: 0%