SAQ 1767 – Motorcycle crash with abdominal CT and transfusion

Marked out of 11.00

A 25-year-old motorcyclist presents after a high-speed collision with a four-wheel drive. A contrast CT abdomen slice is shown. No other injuries are identified, and he has already received two units of packed red blood cells.

Contrast CT abdomen slice after motorcycle crash
Contrast CT abdomen image.

List three abnormalities seen on the CT image.

(Marked out of 3.0)


/ 3

He remains unstable and you anticipate a large transfusion requirement until definitive intervention. State two advantages and two disadvantages of ROTEM-guided MTP compared with ratio-guided MTP.

(Marked out of 4.0)

Observation Value
GCS 14 (E4 V4 M6)
Heart rate 130/min
Blood pressure 75/40 mmHg


/ 4

List four potential complications of massive transfusion that may be evident in the ED.

(Marked out of 4.0)


/ 4

Total Score: 0 / 11

Percentage: 0%