ATLS Flashcards Best Questions and Answers 2023

re-examine the chest - -A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His BP is initially 80/40 mm Hg. After 2 liters of crystalloid solution his BP increases to 122/84. His heart rate is now 100 BPM and his RR is 28 breaths per minute. His breath sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation, a closed tube thoracostomy is performed for decreased left 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 __________. -complete spine x-rays - -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 _________.