MedBugs: SAQ #144

Want to track your progress? You can complete this SAQ as a guest, but logging in lets you save attempts, review scores, and see your progress by category. Log in or create an account .

Case: Biers block

A 54-year-old female presents to your Emergency Department with left wrist pain following a trip and fall. She has no other past medical history. A frontal and lateral wrist X-ray is obtained.

1. List (2) abnormalities on the X-ray. 2 marks

2. What name is given to this type of injury? 1 mark

Your registrar reviews the patient and requests an orthopaedic consultation. A decision is made to perform a closed reduction in your department under a Biers block and consent is obtained.

3. State key steps in performing a Bier’s block. 7 marks

Your registrar is happy to proceed with the Bier’s block independently, with the orthopaedic registrar performing the wrist reduction. Some time later, whilst atending to another patient, you hear the arrest buzzer alarming for the patient undergoing the Bier’s block.

4. List (4) complications of systemic local anaesthetic toxicity and specific management of each, including relevant doses and endpoints. 8 marks

SAQ Home

SAQ Library

Case: Biers block

1. List (2) abnormalities on the X-ray. 2 marks

2. What name is given to this type of injury? 1 mark

3. State key steps in performing a Bier’s block. 7 marks

4. List (4) complications of systemic local anaesthetic toxicity and specific management of each, including relevant doses and endpoints. 8 marks

Update Answers?

🐞 Send Feedback