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Emergency Medicine Journal 2008;25:10
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY MEDICINE QUESTIONS (EMQ)

Emergency Medicine Questions (EMQ)

58

The first 150 words of the full text of this article appear below.

COORDINATORS: ADAM REUBEN AND GAVIN LLOYD

Theme: Trauma

Question 1

Which of the following statements regarding myocardial contusion are correct?

  1. High resolution thoracic CT may be helpful in the diagnosis of cardiac contusion
  2. CK-MB measurements may be helpful
  3. Damage to the left ventricle is more common than damage to the right ventricle due to the relative thickness of the ventricular wall
  4. A right-sided electrocardiogram may be helpful in the diagnosis

Question 2

Which of the following statements regarding trauma are true?

  1. A normal serum amylase reliably excludes a pancreatic injury
  2. The use of focused assessment with sonography for trauma (FAST) scanning has been shown to reduce mortality in patients with torso trauma
  3. Renal tract imaging is advocated if a patient’s urine is positive for microscopic haematuria
  4. Prophylactic phenytoin is advocated in patients with significant head injury

Question 3

Regarding fluid resuscitation in trauma, which of the following statements are correct?

  1. Isotonic saline should be the fluid of choice for initial resuscitation
  2. The presence of . . . [Full text of this article]


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EMQ answers
Emerg. Med. J. 2008 25: 58. [Extract] [Full Text] [PDF]

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The journal is co-owned by and the official journal of College of Emergency Medicine

Official journal of British Association for Immediate Care: BASICS, Faculty of Pre-Hospital Care, Irish Society for Immediate Care and Swedish Society for Emergency Medicine: SweSEM

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