SAQ 215 – Trauma – tranexamic acid and REBOA

A 64-year-old unrestrained man is involved in a high-speed rollover collision. He has obvious bilateral femur fractures, severe pelvic pain, widespread chest and abdominal bruising, and suspected pelvic fracture. Ninety minutes after injury, following 4 L prehospital normal saline, BP is 60/30 mmHg, HR 145/min, RR 30/min, and oxygen saturation 90% on 15 L via non-rebreather mask.

Based on CRASH-2, state four (4) points regarding tranexamic acid use in this patient.

(Marked out of 4.0)

/ 4

State two (2) criticisms of the CRASH-2 study.

(Marked out of 2.0)

/ 2

Define REBOA.

(Marked out of 1.0)

/ 1

List three (3) features of this patient that may support REBOA use before a 30-minute road transfer.

(Marked out of 3.0)

/ 3

List two (2) specific general indications for Zone 1 REBOA.

(Marked out of 2.0)

/ 2

Total Score: 0 / 12

Percentage: 0%