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Lab evidence of cellular perfusion - ANSWER-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? - ANSWER-Biologic Suspected shock type with a spinal cord injury - ANSWER-Distributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the cause? - ANSWER-Herniation Middle Meningeal Artery - ANSWER-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? - ANSWER-2nd Impact Syndrome Bowel sounds heard in the L chest. What is this a symptom of? - ANSWER-Ruptured diaphragm Symptoms of __________________: include muffled heart sounds and hypotension - ANSWER-Pericardiocentesis How should you dress a severed limb? - ANSWER-Sterile gauze with normal saline THEN put ice on it