SAQ 2011 – Head injury with intubation and post-intubation hypotension

You are the consultant in charge of an urban district emergency department. You have just assessed a 42-year-old man who has sustained an isolated head injury from a bicycle accident.

List five acute complications of head injury.

(Marked out of 5.0)

/ 5

You decide to electively intubate him. List four indications for intubation in the emergency department, for any patient.

(Marked out of 4.0)

/ 4

You successfully intubate this patient. While securing the tube, you notice he has become hypotensive to 80/50 mmHg. Complete the table of potential causes of post-intubation hypotension in any patient and state your immediate management for each cause listed.

(Marked out of 5.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Cause</th> <th>Immediate management</th> </tr> </thead> <tbody> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> <tr> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 5

Post-intubation, he is taken to CT for trauma imaging. CT brain shows an acute subdural haematoma. List four indications for surgery in patients with acute subdural haematomas.

(Marked out of 4.0)

/ 4

Total Score: 0 / 18

Percentage: 0%