The Advanced Fellowship in Emergency Medicine Revision Course
Advanced Fellowship in Emergency Medicine Revision Course
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    • SAQ 1-Trauma >
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  • Password SAQ's 6-18
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      • SAQ 12 answer
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      • SAQ 13 answer
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      • SAQ 14 answer
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      • SAQ 15 answer
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      • SAQ 16 answer
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  • AFEM SAQ paper 2021.1
  • AFEM 2021.1 Candidates number
The SAQ's listed below are a sample of the vast bank of questions developed by AFEM to allow preparation for the 2015.1 exams.
To access the password protected domains of the pre-course question bank  - please register for the course. Attendance at the 4 day course will provide a simulated trial environment, individual & written feedback to candidates, curriculum revision and the full AFEM question bank of SAQ's.  

AFEM SAQ1

A 30 year old male arrives via ambulance to ED. He was the driver of a car involved in a high speed motor accident.
On scene, his BP was 90/50 and his HR 100.
He was given 1L of normal saline by the Paramedic team.
His vital signs on arrival to ED:
HR 130   BP 80/50   RR 20   Sat 98% on Room Air   GCS 15/15

His Pelvis X-Ray is as follows:

Picture
1-    What is your initial interpretation of his pelvis x-ray?                                                             (1)

2-    List 5 possible causes for his hypotension in order of likelihood.                                      (2.5)

3-    List 5 immediate actions you will perform                                                                                  (2.5)

4-    List 4 interim treatment measures you would use to address his hypovolemia.             (2)                                                                                                                                                                                                                                                             
5-    An X-ray trauma series is completed in ED and only the pelvic fracture is identified.
        After 4 L of resuscitation with blood and normal saline, his Vitals are as follows:
       
        HR 160           BP 76/44       RR 21     Sats 98%     GCS 13

        List your options for definitive management of his hemodynamic state;         
        explain how you would decide on each option.                                                                              (2)                                           [10]
SAQ 1 model answer
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