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Trauma
intermediate
X-Type

Fat Embolism Syndrome

Trauma Complications

A 24-year-old man is admitted following a motorcycle accident with bilateral femoral shaft fractures. He undergoes external fixation on day 1. On day 2, he becomes confused, develops respiratory distress (O2 saturation 88% on room air), and nursing staff notice a petechial rash across his chest and conjunctivae. Regarding fat embolism syndrome:

Mark each as TRUE or FALSE

A

Fat embolism syndrome (FES) classically presents 24-72 hours post-injury with the triad of respirato...

B

Pathophysiology involves both mechanical (fat globules obstruct pulmonary vasculature) and biochemic...

C

Fat embolism syndrome only occurs in isolated injuries; respiratory symptoms are uncommon; petechial...

D

Treatment is supportive with supplemental oxygen, respiratory support (including mechanical ventilat...

E

Prevention strategies include early stabilization of long bone fractures, limiting intramedullary pr...

Answer the questions to see explanations

Click T (True) or F (False) for each option