A 28 year olf male is brought to the ED. He was involved in a fight,
during which he was beaten with a wooden stick. His chest shows
multiple severe bruises. His arway is clear, resp rate is 22, hear rate
126, and systolic blood pressure is 90 mmHG. Which of the following
should be performed during the primary survey
a. glasgow coma
b. tetanus status
c. cervical spine xray
d. blood alcohol level
e. rectal exam - Correct Answer ✔️✔️a. glasgow coma
an 18yo male is brought to the emergency department after being
dumped by a large wave while surfing. He landed head first on the firm
beach sand. His vital signs are blood pressure 85/60 mmHg, heart rate
,60, and respiratory rate 18; he is unable to move his lower extremities.
He appears calm and asks if he will ever walk again. The most
appropriate next step is to:
a. reassure patient that he will walk again
b. proceed to a more detailed neuro exam
c. obtain c spin xrays
d. begin infusion of vasopressors
e. begin bolus of warm IV crystalloid - Correct Answer ✔️✔️e.
begin bolus of warm IV crystalloid
Whic one of the following statements is true regarding access in
pediatric resuscitation?
a. intraosseous access should be considered only after 5 percutaneous
attempts
b. cutdown at teh ankle is the preferred initial access technique
, c. internal jugular cannulation is the next preferred option when
percutaneous venous access fails
d. intraosseous cannulation should be the first choice
e. blood transfusion can be delivered through intraosseous access -
Correct Answer ✔️✔️e. blood transfusion can be delivered
through intraosseous access
a 35 year old female ustains multiple linjuries in a MVA and is
transported to a small hospital. She has a GCS of V2E2M2. Spinal
motion restrictions are in place. ET is performed, IV and wamred fluids
are administered. She remains hemodynamically normal, and
preparations are made to transfer to another facility for definitive
neuro care. Which of the following tests or treatment should occur
before transport?
a. ct abdomen and chest
b. chest xray