The Advanced Fellowship in Emergency Medicine Revision Course
Advanced Fellowship in Emergency Medicine Revision Course
  • Home
  • Contact
  • Courses
    • AFEM Written Revision Course
  • Register Written Course
  • Resources
    • Paediatric Emergency Medicine Revision Course
    • EMCQPractice - MCQs & EMQs
    • Lifeinthefastlane
    • Dr Adrian Bonsall's Revision Notes
  • Sample SAQ's 2018.1
    • SAQ 1-Trauma >
      • SAQ 1 answer
    • SAQ 2 - CVS >
      • SAQ 2 answer
    • SAQ 3 - Resp >
      • SAQ 3 answer
    • SAQ 4 Psychiatry / Medicolegal >
      • SAQ 4 answer
    • SAQ 5 - Anaesthetics >
      • SAQ 5 answer
  • Password SAQ's 6-18
    • SAQ 6 - Ortho /Admin >
      • SAQ 6 answer
    • SAQ 7 - Obs & Gynae >
      • SAQ 7 answer
    • SAQ 8 - CVS >
      • SAQ 8 answer
    • SAQ 9 - CVS >
      • SAQ 9 answer
    • SAQ 10 Neurology >
      • SAQ 10 answer
    • SAQ 11 Environmental / reus >
      • SAQ 11 answer
    • SAQ 12 Oncology /Admin >
      • SAQ 12 answer
    • SAQ 13 Immunology /Resus >
      • SAQ 13 answer
    • SAQ 14 Neurosurgical >
      • SAQ 14 answer
    • SAQ 15 CVS >
      • SAQ 15 answer
    • SAQ 16 Administration >
      • SAQ 16 answer
    • SAQ 17 Opthalmology /ID >
      • SAQ 17 answer
    • SAQ 18 Environmental >
      • SAQ 18 Answer
  • Workshops
    • Radiology workshop >
      • CXR
      • Pelvis
      • Knee
      • Shoulder
      • Abdomen
      • Brain / Head
    • ECG workshop
    • ABG Workshop
  • Handbook
  • AFEM SAQ paper 2021.1
SAQ 1 - Trauma - Model Answer:

1-    Life threatening massive pelvic diastasis (open book fracture, APC II) that requires immediate reduction and radiological investigation to identify any ongoing pelvic haemorrhage.

2-    Pelvis arterial or venous haemorrhage

       Intra-abdominal haemorrhage

      Spinal injury causing neurogenic shock

      Long bone fracture

      Tension pneumothorax

      Massive haemo-thorax

3-    Activate Full trauma team including surgeon , orthopaedics and interventional radiologist

          A/B – give o2 15L/min via Hudson mask.

          C – wide bore iv acces x2 – give NSaline or O negative blood – 20ml-   40/kg ; Control of external haemorrhage

          Apply pelvic blinder

          Call blood bank - Activation of massive blood transfusion protocol

          Keep patient normothermic – warm all fluid – use warming blanket

4-    O –ve blood transfusion initialy

          Then use cross matched blood aiming for SPB > 90

        Massive blood transfusion blood products in a ratio of: 1:1:1 FFP, Platelets, packed cells

        Tranexamic acid 2 g IV

5. If FAST +ve, need expedite theatre for damage control surgery and pelvic packing.

    If FAST –ve, expedite Interventional Radiology for embolization


Knowledge Required:

·      Classification of pelvic fracture

·      Signs of pelvic fracture

·      Investigation of pelvic fracture

·      Major Pelvic trauma algorithms

·      Complications of pelvic fracture
REFUND POLICY: All refunds are considered at the discretion of the AFEM Executive. Refunds of a maximum of 60% of the course fee is payable with valid reasons with a notice period of 8 weeks  prior to the course. Thereafter,   refunds are managed on a case by case basis.  No refunds are offered within 2 weeks of the course date. No course transfers to individuals or other courses are permitted.