SAQ 1353 – Domestic dispute with penetrating chest injury and shock

Marked out of 10.00

A 26-year-old man presents after a domestic dispute with the shown injury. He is confused, agitated, grey and sweaty.

Observation Value
BP 85/40 mmHg
PR 130/min
SpO2 94% on room air
GCS 13
RR 28/min
Penetrating left chest injury with knife in situ
Penetrating chest injury.

List three possible life-threatening injuries.

(Marked out of 2.0)


/ 2

After two 16G IV cannulas and 500 mL crystalloid, he becomes more hypotensive and has a PEA arrest. List two indications for emergency thoracotomy.

(Marked out of 1.0)


/ 1

List four contraindications to emergency thoracotomy.

(Marked out of 4.0)


/ 4

List three procedures that can be performed once the chest is opened.

(Marked out of 3.0)


/ 3

Total Score: 0 / 10

Percentage: 0%