Princess Alexandra Hospital

  • 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.