Short answer questions

Please provide answers to the questions in the Comments section below. Remember to enter the question number e.g A.1, B.3 etc… You can answer individual questions without answering the complete panel if you wish. Best attempt wins a prize.

Envenomation

A. A 23-year-old man is transferred to LGH 2 hours after being bitten on the left ankle by a snake near St Helens, TAS

  1. Name the breeds of snakes in Tasmania (including the Latin names!)? (3 marks) 
  2. List five (5) features on examination which support the diagnosis of envenomation? (5 marks)
  3. What does VICC stand for? (1 mark)
  4. What are the features of complete VICC?
  5. What five (5) actions are required for the specific treatment of a patient with a snake bite in Tasmania? (5 marks)

BURNS

B. A 4-year-old female arrives as a CAT 1 after being involved in a house fire (2hrs ago) with extensive burns estimated at 50% TBSA by Tasmania Ambulance service

  1. In burns, after the primary survey and before the secondary survey what will you complete? (4 marks)
  2. Calculate the patient’s total fluid requirements for the next 6 hours (include fluid types)? (3 marks)
  3. What are the THS criteria for specialised burns treatment i.e. transfer to RHH? (13 marks!)
  4. What are the indications for airway intervention in a burns patient? (5 marks)
  5. Draw a body map and add in lines where an Escharotomy would be performed, and include superficial nerves to be avoided? (7 marks) [Note: This can be drawn on paper and image URL uploaded, or attach a web image URL].

Drowning

C. During summer a 30-year-old male drowning victim comes in to LGH ED from Lake St Clair. He is in asystolic cardiac arrest with a temperature of 28 °C.

  1. List 4 features of futility in the Emergency Department?
  2. What is the significance of having the zipper down on his trousers?

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