SAQ 609 – Trauma – eFAST after blunt torso injury

A 21-year-old previously well man is brought to your emergency department by friends after landing on his right side on a tree stump during a trail-bike jump at about 40 km/h.

Your registrar reports that the initial eFAST is negative. You remain concerned and repeat the eFAST. The image is shown below.

Observation	Result
HR	130 bpm
BP	85/50 mmHg
RR	32 /min
O2 saturation	95% on 6 L/min Hudson mask
Temperature	35.8 degrees C
GCS	15, no reported loss of consciousness

List two (2) abnormalities or signs on this view and state one (1) significance for each.

(Marked out of 4.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Abnormality / sign</th> <th>Significance</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> </tbody> </table> <p>

/ 4

State three (3) important points you would emphasise to your registrar to improve eFAST sensitivity.

(Marked out of 3.0)

/ 3

State two (2) likely findings for each of the chest/lung ultrasound, subcostal cardiac view, and portable chest X-ray.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Modality</th> <th>Likely findings</th> </tr> </thead> <tbody> <tr> <td>Chest/lung ultrasound</td> <td></td> </tr> <tr> <td>Subcostal cardiac view</td> <td></td> </tr> <tr> <td>Portable CXR</td> <td></td> </tr> </tbody> </table> <p>

/ 6

Total Score: 0 / 13

Percentage: 0%