SAQ 1714 – Wrist injury reduction with regional anaesthesia

Marked out of 24.00

A 65-year-old woman presents with an isolated left wrist injury after tripping over a garden hose at home. AP and lateral X-rays are shown below.

Left wrist X-rays after fall
Left wrist X-rays.

Describe the injury shown.

(Marked out of 5.0)


/ 5

You choose to reduce the injury under regional anaesthesia. List three contraindications to Bier block.

(Marked out of 3.0)


/ 3

State five safety measures, with explanation, for safe performance of a Bier block.

(Marked out of 5.0)


/ 5

List two radiographic measurements that would signify adequate reduction of this injury.

(Marked out of 2.0)


/ 2

Shortly after plaster cast application she has a generalised seizure and the vital signs shown below. State four management components, including endpoints where appropriate.

(Marked out of 4.0)

Finding Result
Pulse 100/min
Blood pressure 85/45 mmHg
Oxygen saturation 100% on 6 L/min oxygen via Hudson mask


/ 4

She recovers without incident. On review, the anaesthetic was infiltrated before the cuff was checked and the cuff is not working effectively. List five aspects of your response to this incident.

(Marked out of 5.0)


/ 5

Total Score: 0 / 24

Percentage: 0%