SAQ 1690 – Fall from ladder with pelvis X-ray and shock

Marked out of 12.00

A 30-year-old man is brought to ED after falling from a high ladder while working as a painter. His pelvis X-ray is shown below.

Pelvis X-ray after fall from ladder
Pelvis X-ray.

List three abnormalities on the X-ray.

(Marked out of 3.0)


/ 3

List three potential non-vascular injuries directly associated with the demonstrated pelvic injury. For each, state a supportive clinical sign.

(Marked out of 6.0)


/ 6

Comprehensive imaging shows no other injuries, but CT angiogram demonstrates active arterial bleeding from a pelvic vessel. His vital signs are shown. State three components of further management.

(Marked out of 3.0)

Observation Result
GCS 14 (E4 V4 M6)
Pulse 135/min
Blood pressure 70/40 mmHg
Respiratory rate 30/min
Oxygen saturation 100% on 15 L oxygen by non-rebreather mask


/ 3

Total Score: 0 / 12

Percentage: 0%