SAQ-resus- anaesthetics

  RESUSCITATION & ANAESTHETICS WEEK 1

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%)

2005/2/SAQ6: A 62 year old man with known chronic renal failure presents with respiratory failure, secondary to pulmonary oedema. Oxygen saturation is 89% on 100% oxygen utilizing bi-level positive airway pressure (BiPAP). His observations are; GCS 14, RR 32/min, Systolic BP 90mmHg, ECG  rate of 105 /min with a regular broad complex rhythm. An urgent Potassium level of 8.7 mmol/L (Reference Range: 3.5-4.9 mmol/L) has been recorded. Discuss rapid sequence induction in this man.  (100%)

2006/1/SAQ8: Discuss the different anaesthetic modalities which may be employed to manage a wrist fracture in a 58 year old man in the emergency department. (100%)

2006/2/SAQ5: A 55 year old man has just undergone endotracheal intubation for severe asthma. Immediately post intubation, his systolic blood pressure falls to 80 mmHg. a. Outline the causes of post intubation hypotension in this man (50%). b. Describe your ventilation strategy for this man (50%).

worked answers

RESUSCITATION & ANAESTHETICS WEEK 2

Outline a protocol using Early Goal Directed Therapy (EGDT) in septic patients in the emergency department (40%). Discuss the use of EDGT in the emergency department (60%).

2002/2/SAQ4: You are preparing to semi-urgently intubate a patient. Outline how you assess the likelihood of this being a difficult intubation (50%). Describe your approach to managing a potentially difficulty intubation

2007/1/SAQ4: Compare and contrast the cardiac arrest algorithm for asystole between adults and children older than one year. (100%)

2006/2/SAQ5: A 55 year old man has just undergone endotracheal intubation for severe asthma. Immediately post intubation, his systolic blood pressure falls to 80 mmHg. a. Outline the causes of post intubation hypotension in this man. (50%), b. Describe your ventilation strategy for this man. (50%)

worked answers

RESUSCITATION & ANAESTHETICS WEEK 3

2005/2/SAQ6: A 62 year old man with known chronic renal failure presents with respiratory failure, secondary to pulmonary oedema. Oxygen saturation is 89% on 100% oxygen utilising bi-level positive airway pressure. (BiPAP). His observations are GCS 14, Temp 37, RR 32/min, Systolic BP 90 mmHg, ECG rate 105/min with regular broad complex rhythm. An urgent potassium level of 8.7 mmol/L (reference range: 3.5-4.9) has been recorded. Discuss rapid sequence intubation in this man (100%).

1995/2/SAQ1: Outline the causes of PEA pulseless electrical activity.Discuss the management of  PEA. (100%)

2008/2/SAQ4: Compare and contrast propofol and ketamine for procedural sedation in the emergency department.  (100%).

2003/2/SAQ4: Discuss the methods of confirming endotracheal tube placement. (100%)

worked answers

2011/1/8: Outline the differences in rapid sequence induction and intubation of an adult and an infant, in the setting of a head injury. (100%) 

examiners' comments

2011/1/4: A 5 year old boy presents to your emergency department with a deformed right wrist after a witnessed fall in the playground. He last ate 2 hours ago. X-ray shows a fracture of the distal radius with 30 degrees of dorsal angulation. Discuss the anaesthetic options for reducing this fracture (100%) 

examiners' comments

2009/2/SAQ2: Discuss the use of non-invasive ventilation in the emergency department.(100%)

examiners' comments

2008/1/SAQ2: A 20 year-old man has been intubated in the emergency department the previous evening after ingesting an unknown quantity of alcohol and benzodiazepines. At 0800 hours, his observations are: Temp 36 oC, HR  80 /min, BP 110/70 mmHg, SpO2 100 % FiO2 1.0. Describe a. Your criteria for extubation  (30%), b. The process of extubating this patient (70%)

examiners' comments

2007/2/SAQ5: Discuss the pharmacological options available (including dosages and modes of delivery) to treat anaphylaxis in the emergency department.(100%)

examiners' comments

2007/1/SAQ4: Compare and contrast the cardiac arrest algorithm for asystole between adults and children older than one year. (100%)

examiners' comments

2006/1/SAQ8: Discuss the different anaesthetic modalities which may be employed to manage a wrist fracture in a 58 year old man in the emergency department. (100%).

examiners' comments

examiners' comments

2006/1/SAQ1:a. Outline the evidence for therapeutic hypothermia in post cardiac arrest patients. (30%) b. Describe a protocol for therapeutic hypothermia in your ED. (70%)

examiners' comments

2005/1/SAQ4: Describe a detailed protocol for the use of propofol in the emergency department. (100%)

examiners' comments

2004/2/SAQ8: A 32 year old multiparous woman presents via ambulance with marked per vaginal bleeding following the precipitous delivery at home of her term infant 15 minutes previously. The infant is well and is under the care of the neonatal service. The ambulance service has been unable to establish intravenous access and her blood pressure is now unrecordable. Outline your management of this patient.(100%)

examiners' comments

2004/2/SAQ2: Discuss the role of adrenaline and vasopressin in cardiac arrest.(100%)

examiners' comments

2004/1/SAQ7:A 38 year olda man is brought in by ambulance. He was found unconscious in a house by the fire brigade. He is now conscious with spontaneous respirations and has O2 being delivered by Hudson mask at 6L/min. He has a black sooty faceand head. Both his hair and nasal hair are singed. He has carbonaceous spots in his tongure and pharynx. There is circumferenctial blistering to his left leg. Outline your manangement of this patient (70%). Discuss the use of hyperbaric in this case. (30%)

examiners' comment

2003/1/SAQ5: A middle aged man is brought into your emergency department by ambulance. He was found unconscious in his apartment with a suicide note next to him. There was no evidence of trauma and no empty medication packages were found. He was intubated at the scene. Naloxone given had no effect on his level of consciousness. On arrival his observations were heart rate 50 beats/minute, BP 110/70, spontaneous respiratory rate 6/minute achieving an oxygen saturation of 92% on 6L oxygen per minute. His initial ECG revealed a slow atrial flutter with variable block. His Na+ 128mmol/L, K+ 7.5mmol/L, Cl 110 mmol/L, Urea 17mmol/L and Creatinine 0.08mmol/L. Outline your assessment of this patient (50%). Outline your management of this patient (50%).

examiners' comments

2002/2/SAQ8: 18 y.o. female is brought be ambulance following an ingestion of an unknown quantity of diltiazem slow release and 50mg atenolol tablets with an unknown quantity of alcohol 45 minutes prior to her arrival. On arrival she is drowsy but responsive, pulse rate 55/min, BP 85/30, RR 12/min and SaO2 99% on oxygen. She is triaged to resuscitation. Describe your management of this patient (100%).

examiners' comments