|
DISASTER & ENVIRONMENTAL WEEK 1 2003/2/SAQ5: You receive a call from the ambulance control at 4pm on Friday. A pungent gas has been released in the underground train station. Your emergency department is the nearest tertiary hospital. At least 100 patients are involved. Outline your response to this notification. (100%) 1996/2/SAQ8: An elderly woman is brought to the emergency department after being rescued unconscious from a house fire. She is subsequently confused and dyspnoeic, her pulse is noted to be 120/ min and her blood pressure 90/79mmHg. She has burns to 30% of her body surface including her left arm which is grossly swollen with no radial pulse. Outline the treatment required (100%). 2004/2/SAQ3: You are working in a large regional emergency department. You receive a telephone call from a doctor at a small community hospital two hours away by road. This doctor is a general practitioner with limited emergency experience. He asks for advice regarding an 18 month old boy who presented with fever, pallor and stridor. Despite intramuscular and nebulised steroid, the child has severe respiratory distress with stridor. Outline your advice to the referring doctor (50%). Outline the arrangements you would undertake to transfer this child (50%). 2006/1/SAQ6: Describe your management of the athlete with heat stroke (100%) |
|
|
DISASTER & ENVIRONMENTAL WEEK 2 1998/1/SAQ8: An electricity worker sustained a high-voltage injury while working on a power line. He lost consciousness for 60 seconds and has injuries to his left hand and both feet with a loss of tissue. Describe your assessment and management of this patient (100%) 1996/1/SAQ1: You are a doctor in a medical centre which is responsible for receiving referrals from first aid personnel at a fun run. A 28 year old collapses after 13km of a 14km run held in an ambient temperature of 21oC. Examination reveals a man who is disorientated and sweaty with a pulse of 140bpm, a BP of 90/50mmHg and a rectal temperature of 41oC. He is shouting and thrashing about. During your assessment he has a generalized seizure. Describe your management of this case. (100%) 2003/2/SAQ6: A 36 year old skier is brought into your ED by helicopter paramedics. He has been found unconscious in a wooded area of the ski field. On arrival his pulse rate is 55 beats per minute in atrial fibrillation, his blood pressure is 110/70 and his GCS is 12. Describe your differential diagnosis (50%). Describe your management of this patient (50%). 2009/1/SAQ6: What modifications to basic and advanced cardiac life support are required in an adult patient with a cardiac arrest secondary to unintentional (environmental) hypothermia? (100%) |
worked answers |
|
2010/1/SAQ3: A 35 year old man is brought to your emergency department after being struck by lightning. His vital signs are; HR: 120/min, BP: 100/60mmHg, RR: 18/ min, Temperature: 35oCelsius, GCS: 9. Describe your assessment (100%). |
examiners' comments |
|
2008/2/SAQ6: You have been advised by Emergency Medical Services of a bus versus petrol tanker accident with mass casualties. Describe how you would configure and deploy a medical team to the accident scene. (100%) |
examiners' comments |
|
2007/1/SAQ1: A 5 year old boy is brought to your major referral emergency department by his mother, who states he has been bitten on his ankle by a snake while playing in their back yard one hour previously. He has a pressure immobilization bandage in place. He is currently asymptomatic with the following vital signs: HR 90bpm, BP 95/55mmHg, RR 20/min, SpO2 99% room air. What features on assessment would indicate evenomation? (50%) One hour later the child is asymptomatic. Initial investigations are normal. The pressure immobilization bandage is still in place. List the criteria which need to be met for the child to be discharged. (50%) |
examiners' comments |
|
2006/1/SAQ6: Describe your management of the athlete with heat stroke. (100%) |
examiners' comments |
|
2006/1/SAQ2: You are the consultant in charge of the emergency department in a tertiary hospital. The ambulance service calls at 1000 hours on a weekday warning that they are at the scene of a major motor vehicle crash. They have 6 patients – 5 adults and a 12-month-old infant, all in a serious condition. They will be arriving at your department in 10 minutes. Describe your response to this situation. (100%) |
examiners' comments |
|
2002/1/SAQ6: A 42 year old female factory worker is brought to hospital with protracted vomiting following a chemical spill at a local petrochemical plant. Hazchem information provided by her employer identifies the substance involved as an organophosphate. Describe the management of this patient on arrival at your department. (80%). Briefly discuss the investigations indicated. (20%). |
examiners' comments |