MedBugs: SAQ #459

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Case: Paediatric femoral shaft fracture transfer

An 11-year-old girl presents to your rural emergency department after a car accident. An X-ray of the left femur is shown :

$Paediatric femoral shaft fracture transfer$

1. State the main abnormality seen on the Xray. (1 mark) 1 mark

2. List (2) immediate concerns relevant to this injury. (2 marks) 2 marks

3. List (2) long-term complications associated with this injury. (2 marks) 2 marks

You are provided a medical escort for her transfer to your local paediatric trauma centre 45 minutes away.

4. List (3) specific modalities to provide analgesia for the transfer (this is an isolated injury). (3 marks) 3 marks

Initial resuscitation is carried out and it is decided to prepare for transfer. HR 140 BP 85/50 RR 25 T 36

5. Outline (4) steps you will take in preparation for transfer. (4 marks) 4 marks

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