Ouchy, my wrist!

 

This SAQ is worth 16 marks

A 54 year old man is brought to your emergency department after sustaining a low-speed motorbike accident. His only injury after his secondary survey is a painful, deformed right wrist. These are his X-rays.

View attached:  Attachment 1  Attachment 2

Question 1.
List three (3) abnormalities on these X-rays. (3 marks)

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________



Question 1.
A temporising reduction is to be performed in the emergency department. List five (5) treatments including doses to facilitate this procedure. (10 marks)

   Treatment Drug dose
1    
2    
3    
4    
5    



Question 3.
List three (3) elements of informed consent. (3 marks)


1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________



 

This SAQ is worth 16 marks

A 54 year old man is brought to your emergency department after sustaining a low-speed motorbike accident. His only injury after his secondary survey is a painful, deformed right wrist. These are his X-rays.

Question 1.
List three (3) abnormalities on these X-rays. (3 marks)

Good answers showed the following characteristics:

  • concentrated on the most serious injuries i.e. dislocation and #
  • listed treatments reasonable for the given case with accurate drug doses
  • used terminology associated with an advanced understanding of the concept of consent

The marking scheme means that provision of extra detail does not attract extra marks and hence wastes candidates’ time



Question 1.
A temporising reduction is to be performed in the emergency department. List five (5) treatments including doses to facilitate this procedure. (10 marks)



Question 3.
List three (3) elements of informed consent. (3 marks)




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xray   x-ray   wrist   reduction   consent   ACEM_2015.1