SAQ 1384 – Tractor injury with pelvic X-ray and FAST image

A 50-year-old farmer has been run over by a tractor and has severe pelvic pain. His observations are shown below. His CXR is normal, and his pelvic X-ray and FAST image are shown.

Observation	Value
GCS	13 (E3 V4 M6)
Pulse	140/min
Blood pressure	70/30 mmHg
Oxygen saturation	99% on room air
CXR	Normal

List three abnormalities on the pelvic X-ray.

(Marked out of 3.0)

/ 3

Classify the injury pattern using a recognised system.

(Marked out of 1.0)

/ 1

State the immediate intervention you would perform and include the endpoint.

(Marked out of 2.0)
Intervention | Endpoint<br /> |

/ 2

List three injuries commonly associated with this pelvic injury and, for each, the clinical findings that support its presence.

(Marked out of 6.0)
Injury | Supportive clinical findings<br /> |<br /> |<br /> |

/ 6

State your conclusion from the FAST image and include the clinical implication.

(Marked out of 2.0)
Conclusion | Clinical implication<br /> |

/ 2

You have initiated a massive transfusion protocol approach. List four key laboratory endpoints you will target.

(Marked out of 4.0)
Parameter | Target result<br /> |<br /> |<br /> |<br /> |

/ 4

List five complications specific to massive volume transfusion.

(Marked out of 5.0)

/ 5

Total Score: 0 / 23

Percentage: 0%