Multitrauma
° Resuscitation from shock
° Uncleared C-spine
° Evidence of large arterial sheath femoral artery suggestive of angiogram +/- embolisation
° CT scan – interpretation
° ABG – mixed respiratory and metabolic acidosis
Areas of weakness identified by examiners:
° Several candidates missed a large arterial sheath and failed to identify the possibility of an angiogram +/-embolisation
° Inability to perform a clear neurological examination
° Patient had a clear pericardial sound, missed by a number of candidates.
° Candidates did not recognise a ruptured spleen on CT.