A 29-year-old man is involved in a high-speed motorcycle crash. Primary and secondary survey suggest his injuries are limited to the thorax and abdomen. A chest X-ray is shown below.
His blood pressure on arrival is 70/30 mmHg. He has received no prehospital treatment.

State three abnormal findings on the chest X-ray.
(Marked out of 3.0)
/ 3
State three likely causes of his hypotension.
(Marked out of 3.0)
/ 3
State three key principles for the use of massive transfusion.
(Marked out of 3.0)
/ 3
Complete the table by stating the target aims for these parameters during massive transfusion.
(Marked out of 9.0)
| Parameter |
Aim |
| Temperature |
|
| pH |
|
| Base excess |
|
| Lactate |
|
| Ionised calcium |
|
| Haemoglobin |
|
| Platelets |
|
| PT/APTT |
|
| Fibrinogen |
|
/ 9
Total Score: 0 / 18
Percentage: 0%
Comments are closed for this SAQ.