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A 22-year-old man is hypotensive and re-examine the chest
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:
A construction worker falls two stories from complete spine x-ray series
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:
Which of the following is true regarding the Evidence of improved perfusion after fluid resuscitation could
initial resuscitation of a trauma patient? include improvement in Glasgow Coma Scale score on
reevaluation.
In managing a patient with a severe secure the airway
traumatic brain injury, the most important
initial step is to:
, A previously healthy, 70-kg (154-pound) An ABG would demonstrate a base deficit between -6 and -10
man suffers an estimated acute blood loss mEq/L.
of 2 liters. Which one of the following
statements applies to this patient?
The physiological hypervolemia of increasing the volume of blood loss to produce maternal
pregnancy has clinical significance in the hypotension
management of the severely injured, gravid
woman by:
The best assessment of fluid resuscitation of urinary output of 0.5 mL/kg/hr
the adult burn patient is:
The diagnosis of shock must include: evidence of inadequate organ perfusion
A 7-year-old boy is brought to the direct pressure on the wound
emergency department by his parents
several minutes after he fell through a
window. He is bleeding profusely from a 6-
cm wound of his medial right thigh.
Immediate management of the wound
should consist of:
For the patient with severe traumatic brain cerebral vasoconstriction with diminished perfusion
injury, profound hypocarbia should be
avoided to prevent:
After being involved in a motor vehicle perform an exploratory laparotomy
crash, a 25-year-old man is brought to a
hospital that has surgery capabilities
available.. Computed tomography of the
chest and abdomen shows an aortic injury
and splenic laceration with free abdominal
fluid. His blood pressure falls to 70 mm Hg
after CT. The next step is:
Which one of the following statements Leakage of amniotic fluid is an indication for hospital
regarding abdominal trauma in the pregnant admission.
patient is TRUE?
The first maneuver to improve oxygenation administer supplemental oxygen
after chest injury is: