SAQ 77 – Trauma – thoracoabdominal injury and massive transfusion

Marked out of 18.00

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.

Chest X-ray for Geelong SAQ 009 question 1

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%

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