SAQ 751 – Paediatrics – femoral shaft fracture after motor vehicle crash

Marked out of 13.00

An 11-year-old girl presents to your rural ED after a car crash.

An x-ray of the left femur is shown. Later you are asked to escort her to the local paediatric trauma centre, 45 minutes away.

Left femur x-ray showing a comminuted midshaft femoral fracture.
Left femur x-ray

List one (1) important abnormality on the x-ray.

(Marked out of 1.0)


/ 1

List two (2) immediate concerns relevant to this injury.

(Marked out of 2.0)


/ 2

List two (2) long-term complications associated with this injury.

(Marked out of 2.0)


/ 2

List three (3) specific modalities to provide analgesia during transfer.

(Marked out of 3.0)


/ 3

Her observations are shown. Describe her haemodynamic state.

(Marked out of 1.0)

Observation Value
HR 140 bpm
BP 85/50 mmHg
RR 25/min
Temperature 36 C


/ 1

After initial resuscitation, transfer is planned. List four (4) steps to prepare for an uncomplicated transfer.

(Marked out of 4.0)


/ 4

Total Score: 0 / 13

Percentage: 0%

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