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Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - Airway/Intubate Lab evidence of cellular perfusion - Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - Biologic Suspected shock type with a spinal cord injury - Distributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the cause? - Herniation Middle Meningeal Artery - Epidural Hematoma (results from collection of blood that forms between dura mater and skull) Prior to having a concussion (TBI), the patient had a brain injury that was not fully healed. What is the cause? - 2nd Impact Syndrome Bowel sounds heard in the L chest. What is this a symptom of? - Ruptured diaphragm Symptoms of __________________: include muffled heart sounds and hypotension - Pericardiocentesis How should you dress a severed limb? - Sterile gauze with normal saline THEN put ice on it Amylase level looks at _____________ - Pancreas What should you do if your patient has hyphema (collection of blood inside the front part of the eye?) - Sit HOB up to 30 degrees


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