A 22 year old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood

after initial IV fluid resuscitation, a closed tube thoracostomy is performed for decreased left breath

sounds - reexamine 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...
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