A 25-year-old man is stabbed multiple times to the posterior trunk during a domestic dispute. On arrival his GCS is 15, HR 140/min, BP 80/40 mmHg, RR 32/min, and oxygen saturation 98% on 15 L oxygen via non-rebreather mask.
His chest X-ray is shown below. After initial management, a CT slice is obtained and shown below. No other injuries are found and his vital signs normalise, but several hours later he develops recurrent hypotension while awaiting surgical admission.
Chest X-ray.
CT abdomen slice.
State your interpretation of the chest X-ray, supported by four relevant radiographic abnormalities.
(Marked out of 5.0)
/ 5
State the emergency procedure you would perform for the injury shown on the chest X-ray.
(Marked out of 1.0)
/ 1
State two factors you would consider when determining whether the procedure has successfully managed the injury.
(Marked out of 2.0)
/ 2
List two indications for surgical management of the injury demonstrated on the chest X-ray.
(Marked out of 2.0)
/ 2
List three abnormalities evident on the CT slice.
(Marked out of 3.0)
/ 3
List three potential causes of recurrent hypotension and how you would assess each.
(Marked out of 6.0)
/ 6
Total Score: 0 / 19
Percentage: 0%
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