Trauma roundup

Question 1

What is the ALGEE acronym?

Answer 1

A - Approach and Assess the person for risk
L - listen non-judgmentally
G - give reassurance and information
E - Encourage appropriate professional help
E - Encourage self-help or other support

Question 2

What is the MARS acronym?

Answer 2

Metal artefact reduction

Question 3

What are examples of MARS?

Answer 3

Increasing Kv and reducing MA
Dual energy CT - dual sources or dual detectors

Question 4

What does MPR stand for?

Answer 4

Multiplanar reconstruction

Question 5

What is a MPR?

Answer 5

Images are acquired in a single plane and the data is reconstructed to be able to view the images in a different plane.
EG: Acquired in sagittal and reconfigured to view in axial.

Question 6

What are the 2 common methods of embolization?

Answer 6

Beads or coiling

Question 7

What are 5 types of reasoning?

Answer 7

Pragmatic
Procedural
Conditional
Narrative
Interactive

Question 8

What is procedural reasoning?

Answer 8

Procedural reasoning comprises the knowledge and skills that build your knowledge base “aka – knowledge base”

Question 9

What is conditional reasoning?

Answer 9

Refers to the compliance of the service user and how this impacts your approach to the examination.

Question 10

What is Narrative reasoning?

Answer 10

This provides context to patient feeling in any given clinical scenario. To provide the most effective care you need to understand what your input “means” to the patient.

Question 11

What is interactive reasoning?

Answer 11

Involves emotion; as professionals we will pick up on signs of anxiety, and stress in our patients.
Helping them navigate the procedures will adjust how we achieve optimal imaging.

Question 12

What is pragmatic reasoning?

Answer 12

Managing expectation within your scope of practice, area of practice and knowledge base.

Question 13

What are examples of Procedural reasoning questions?

Answer 13

What do I know about the symptoms and image interpretation?
Have I seen a situation like this before?
What do I not know about this?
Do I need assistance from a colleague?

Question 14

What are examples of conditional reasoning questions?

Answer 14

What do I know about the service users condition – are there adjustments I can make?

How might my approach be affecting the service user?

Question 15

What are examples of Narrative questions?

Answer 15

What does this examination/injury mean to someone AND THE IMPACT ONTHEIR LIFE?
HOW HAS THIS CHANGED YOUR VIEW OF THE CLINICAL SITUATION?
Can I recommend any further help outside of my area?

Question 16

What are examples of interactive reasoning questions?

Answer 16

Have I listened to my patient?
Have they had the opportunity to ask questions?
Have I checked they are happy?

Question 17

What are examples of Pragmatic reasoning questions?

Answer 17

Am I aware of my limitations?
Have I communicated clearly and managed expectations?
Have I thought about possible ways around issues?

Question 18

What do I need to consider:
Working in a Theatre with a C-arm imaging a patient with pelvic fracture and bowel injury. There is a power cut - What do I need to consider?

Answer 18

Is there any radiation being admitted?
Communication with the surgical team.
No ability to save images or create patient folder.
Risk of accidents - trips
Equipment issues
Top issue - Patient safety

Question 19

A patient who identifies as they/them has attended for a CT.
You recognise a colleagues approach to asking the patient if there is any possibility of pregnancy was flippant and rude.
How would you address this approach?

Answer 19

1. Patient Safety
2. Seek information
3. Support
4. Escalate (poor behavior)
5. Innovation (Help to educate)