SAQ 1659 – High-speed MVC with chest X-ray and hypotension

Marked out of 12.00

A 60-year-old woman is brought to the ED after a high-speed motor vehicle collision. She was the driver of a sedan that struck a truck head-on. On arrival her GCS is 12 (E3 V4 M5), HR 100/min, BP 80/40 mmHg, RR 28/min, and oxygen saturation 99% on 15 L oxygen via non-rebreather mask. Her chest X-ray is shown below. Further assessment finds no major wounds, no long-bone injury, and a normal pelvic X-ray.

Supine chest X-ray after high-speed trauma
Chest X-ray.

State your provisional diagnosis, supported by three radiographic abnormalities.

(Marked out of 4.0)


/ 4

List four potential causes of hypotension and the examination or bedside investigation features that would support each cause.

(Marked out of 8.0)


/ 8

Total Score: 0 / 12

Percentage: 0%