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A 22-year-old man is hypotensive and tachycardic after a shotgun wound to
the left shoulder. His blood pressure is initially 80/40 mm Hg. After initial
fluid resuscitation his blood pressure increases to 122/84 mm Hg. His heart
rate is now 100 beats per minute and his respiratory rate is 28 breaths per
minute. A tube thoracostomy is performed for decreased left chest breath
sounds with the return of a small amount of blood and no air leak. After
chest tube insertion, the most appropriate next step is: - 🧠 ANSWER ✔✔re-
examine the chest
A construction worker falls two stories from a building and sustains bilateral
calcaneal fractures. In the emergency department, he is alert, vital signs
, are normal, and he is complaining of severe pain in both heels and his
lower back. Lower extremity pulses are strong and there is no other
deformity. The suspected diagnosis is most likely to be confirmed by: - 🧠
ANSWER ✔✔complete spine x-ray series
Which of the following is true regarding the initial resuscitation of a trauma
patient? - 🧠 ANSWER ✔✔Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale score on
reevaluation.
In managing a patient with a severe traumatic brain injury, the most
important initial step is to: - 🧠 ANSWER ✔✔secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute
blood loss of 2 liters. Which one of the following statements applies to this
patient? - 🧠 ANSWER ✔✔An ABG would demonstrate a base deficit
between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the
management of the severely injured, gravid woman by: - 🧠 ANSWER
✔✔increasing the volume of blood loss to produce maternal hypotension