SAQ 2006 – Child with penetrating abdominal injury after a bicycle accident

Marked out of 14.00

An 8-year-old girl presents after falling from her bicycle onto a stick. She was wearing a helmet but no other safety gear.

She is alert and distressed. Observations are pulse 110/min, BP 105/70 mmHg, capillary refill time 3 seconds, RR 24/min and SpO2 92% on 6 L/min oxygen by non-rebreather mask.

There is a 10 cm laceration to the right lateral abdomen at the level of the umbilicus. The wound photograph is shown below.

Clinical photograph of a right lateral abdominal laceration from penetrating trauma in a child.
Right lateral abdominal wound.

List eight potential injuries from this mechanism.

(Marked out of 4.0)


/ 4

List four anatomical differences between a child's abdomen and an adult's abdomen that are relevant to injury risk.

(Marked out of 4.0)


/ 4

Outline ED management, including investigations.

(Marked out of 6.0)


/ 6

Total Score: 0 / 14

Percentage: 0%