FACEM SCE 2011 032

Scenario

A 65 year old man is brought to your urban district ED from a burning factory. Firefighters found him unconscious within the building.
His observations are as follows
FACEM SCE 2011 032 2011 01 01 Obs
Arterial blood gases on 15 l of oxygen
FACEM SCE 2011 032 2011.1.abg

Question 1

List possible causes for his reduced conscious state

FACEM SCE 2011 032 2011 01 01 011

Question 2

Describe and interpret the ABG Results on 15L/min oxygen

FACEM SCE 2011 032 2011 01 01 02

Question 3

What features in the assessment of this patient would support a diagnosis of CO poisoning?

FACEM SCE 2011 032 2011 01 01 03

Question 4

Outline the key issues in the airway management of this patient

FACEM SCE 2011 032 2011 01 01 04

Question 5

The patient is safely intubated. COHb = 15% Discuss the role of hyperbaric oxygen therapy in this setting.

FACEM SCE 2011 032 2011 01 01 05

Examiners Report

  • Overall pass rate for this question was 52/60    (86.7%)
    • This SCE examined core elements in CO poisoning, and high standards were expected of candidates.
    • Good candidates synthesized information well, and prioritized key issues before addressing details.
    • Those who performed poorly failed to demonstrate basic knowledge in this area, and/or were unable to interpret the ABGs.

ACEM Fellowship Structured Clinical Examination (SCE)

FACEM SCE 2011 032 pf button both

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About Mike Cadogan

Emergency physician with a passion for medical informatics and medical education. I write medical textbooks, websites such as HealthEngine and write more eclectically on the web as @sandnsurf | + Mike Cadogan | Contact

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