September 2009

A 20 year old is admitted to the Emergency Department having been involved in a road traffic accident. His Glasgow Coma Score (GCS) is 12. He has a closed fracture of his left femur. No other injuries are evident. A CT scan of his head has revealed a right subdural haematoma, and it has been agreed to transfer him to the regional neurosurgical unit 60 miles away.

a) What are your clinical priorities prior to transfer of this patient? (50%)

b) What are the indications for intubation and ventilation prior to transfer following a brain injury of this nature? (30%)

c) Who should accompany this patient for transfer to the neurosurgical unit? (10%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
May 2007

a) List the key points in the management of an unconscious (Glasgow Coma Scale 6) trauma patient before transfer to the CT scanner. There are no other apparent injuries but the cervical spine cannot be cleared. (50%)

b) Discuss the safe transfer of this patient to a CT scanner in the same building. (20%)

c) List the specific problems that may be encountered whilst in this environment. (20%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question