Scenario
A 2½ year old girl presented with a history of injuring her feet on hot bitumen. Her feet have been cleaned.
Question
a. Describe the photograph. (30%) b. What are the management issues? (70%)
Answer
FACEM VAQ Exam 2003.2 – Question 2
- The overall pass rate for this question was 61 / 82 (74.4%).
- A picture of the child with burnt feet is shown
- Examiners felt that this was a straightforward question but nevertheless noted deficiencies such as failing to describe the (whole) photograph as requested and not just the burns, wasting time covering resuscitation and burns fluid management when this was unlikely to be required and failing to appreciate this was a burn to a special area.
- They expected an answer would include first aid, analgesia, consideration of NAI and referral as part of the disposition plan.
ACEM Fellowship Visual Aid Questions
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