TNCCgFINALgEXAMg4gLATESTgVERSIONSg2g2024gCONTAINSg500gQ
UESTIONSgANDgCORRECTgANSWERSg(VERIFIEDgANSWERS)TESTg
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Agag22gyrgoldgwasgstruckgbygagvehiclegwhilegcrossinggthegstreet,gsustaininggmultiplegfxgs
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Agagptgsustrainedgagpenetratingginjurygofghisguppergleg.gthegpreghospitalgpersonnelgstate
sgaglargegamountgofgbloodglossgbeforeghemostasiswasgachieved.ghegpresentsgtogthegE
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gANSdecompensated
Agangunrestrainedgdrivergwasginvolvedgingagfrontalgcollisiongwithoutgairbaggdeployment.g
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Agduringgassessmentgofgangextremetygwithgsuspectedgpulsesgareg-gANScangbegnormal
Agforgagptwhoghasgundergonegrecentgbariatricgsurgery,gflouroscopygisgrecommendedgtog
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Agidentificationgofgvulnerabilitiesgisgangexamplegofgwhatgphasegofgdisastergmanagementg
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Agingmassgcasualtyg"doinggtheggreatestggoodgforgtheggreatestgnumbergofgpeoplegrefersgt
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Agingneurogenicgshock,galterationsgingvitalgsignsgincludeghypotensiongandgwhichgotherga
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AgIngthegprimarygsurveygAVPUgisgperformedgtogdeterminegifgthegpatientgcan:g-
gANSProtectgtheirgaiway
Agpregogtraumagptgdevelopsgtachy,ghypotension,gagrigidegboardglikeguterus,gandgdark,gre
dgvaginalgbleeding.gshegreportsgconstantgbackgpaingwhichgisgincreasing.gthegmostglikely
gcausegofgs/sgisg-gANSplacentalgabruption
Agseveralggroupsgofgpeoplegaregatghighergriskgforgmaltreatmentgincludinggchildren,gelderl
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Agthegnursegisgpreparinggtogcleansegangextensivegabrasiongcontaminatedgwithgdirtgandg
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gANSitgisgactivatedgbygtissueghypoxiagandgsendsgneutrophilsgtoginjurygsite
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BANKg|ALREADYgGRADEDgA+|100%gCOMPLETEg PASS
AgwhatgisgangearlygassessmentgfindinggtogincreasedgICPgingptgwithgagbrainginjuryg-
gANSvomiting
Agwhengprovidinggcaregforgthegpedicatricgptgwithgburnsgthegpostgresuscitationgcare,ghowg
aregfluidsgdeliveredg-gANSparklandgformulagwithgmaintainencegfluidss
Agwhichgofghtegfollowinggnursingginterventionsgwouldgbegbestgforgtraumitcg -
gANSHOBg30gdegrees
Agwhichgofgthegfollowinggstructuresgwouldgbeghtegmostgaffectedgbygtehgconceptgofgcaviat
iong-gANSLiver
Agwhichgofgthegfollowinggvaluesgisgwithingthegacceptableglimitsgforgtraumagptg-
gANSendgtidalgCO2gofg40
BgagptgfathergarrivesgingtehgERgandgneedsgtogbegtoldghisgsongwasgseverelyginjuredgingag
MVCgandgisgingsurgery,gthegfathergsigagitated,gyelling,gandgsmellsgofgalcohol.gingplannin
ggtogtalkgwithgthegfathergthegtraumagnursegwillg-
gANSdeliverginformationgregardinggthegson;sgcaregingagcalmgvoice
BgagptginvolvedgingangMVCgdevelopsgasymmetricgpupillarygreactivity,gbilateralgpupillaryg
dilationgandgabnormalgmotorgposturing.gwhatgdoesgthegnursegsuspectgasgthegmostglikelyg
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Bgagptgwithginjurygtogthegmiddlegmeningealgarterygisgatgriskgforgwhichgofgthegfollowingg-
gANSepiduralghematoma
Bgangocclusivegdressingghasgbeengappliedgtogagptgwithgagpenetratingginjurygtogthegchest.
gupongassessmentgthegnursegnotesgthatgthegpatientgisgingrespiratorygdistressgnadghasga
bsnetgbreathgsoundsgonghtegaffectedgside.gwhatgisgthegprirorutyginterventiong-
gANSremovegthegdressinggtogthegwound
BgangunrestrainedgdriverginlvolvedgingagMVCgingwhichgalcoholgwasginvoled.ghegdeniesgan
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BgptgtogERgaftergbeinggpinnedgtogbrickgretaininggwall.gknwoinggcrushingginjuriesgcangresu
ltgtogsignificantgdamagegtogmuslcesgthegprioritygasessmentgforgtraumagnrusegisgforg-
gANSmyoglobinemiagndgrenalgfailure
Bgthegmostgcommongcausegofgshockgingthegtraumagptgisg-gANSlossgofgcircgvolume
BgthegunrestrainedgfrongseatgpassengergingagMVCgdevelopsgechymosisgaroundgumbillic
us.gthisgassessmentgfindinggisgmostgcommonlygassociatedgwith:g-
gANSbleedinggingthegperitonealgcavity
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UESTIONSgANDgCORRECTgANSWERSg(VERIFIEDgANSWERS)TESTg
BANKg|ALREADYgGRADEDgA+|100%gCOMPLETEg PASS
Bgthinninggskingandgdiminishedgautonomicgresponsegingoldergadultgcanghavegwhatgeffect
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BgwhengassessinggagptgfollowinggagMVCgthegnursesgasksghowgfsatgthegcargwasggoingg-
gANSwhengvolocitygisgdoubledgspeedgisgquadroupled
BgWHichgmaygleadgtogunreliablegpulsegoxgreadingg-gANScarboxyhemoglobin
Bgwhichgofghtegfollowinggsignificantgassessmentgfindignsgisgfrequentlygfoundgingagpatie
ntgwithgcompletegcransiofacialgseparationginvolvinggthegmaxilla,gzygoma,gorbits,gandgbo
nesgofgthegcranialgbase.g-gANSdiplopia
Bgwhichgofgthegfollowingghemodynamicgsupportgstrategiesgisgthegpriorirityginterventiongfo
rgagptgwithgtraumaticgpulmonarygcontusiong-gANSjudiciosgusegofgIVgfluids
Bduringgthegprimarygsurverygwhichgofgthegfollowingghasgtheggreatestgpriorityg-
gANScervicalgspineginjury
Cg32gwkgpregnantgladygarrivesgingergaftergtrappedgingagcargthatgflipped.gtheginitialgasses
smentgrevealsgs/sgofgshock,gvaginalgbleeding,gagpalpablegasymmetricalguterus,gandgslow
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Cgagcollegegstudentgpresentsgtogthegergstatinggafterarrivinggatgagpartyg,gshegawokegingagd
ormgrom.gshegdidntgrecognizegwithgnogmemorygofgthegpreviousgeveninggthegtraumagnur
segpreparegforgwhatgexam.g-gANSsexualgassult
Cgangadultgptginvolvedgingagbrushgfiregarrivesgtogtheger.guponginitialgassessmentgingtheger
gthegmostgconcerninggfindinggisg-
gANShoarsegvoicegandgrepeatedlygdecidesgtogcleargthroat.
Cgangoldergadultgptgfellgingthegbathtubg3gdaysgago.gnowgshegisgexihibitinggdecreasdgLO
Cgandgdifficultygwithgspeakinggandgwalking.gwhichgofgthegfollowingginjuriesgisgmostgeffecti
ve
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Cgeffectivegpaingmanagementginghtegptgiwthgribgfxwillgpromotegwhatg-
gANScoughgwithgabilitygtogcleargsecretions
Cgproperlygrestrainedg6gwkgoldgkidgwasginvolvedgingagMVC.gaftergthegassessmentgandgs
tabilizationgthegptgbecomesgmoregdifficultgtogrouse.grespondinggwithgagweakgcrygtogpainf
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atgisgthegmostglikelygcausegandgprirityginterventionsg-gANShypoglycemia
CgWhatgaregthegprimarygbenefitsgofgagteamgapproachgtogtraumagcareg-
gANSitgprovidesgagsystemicgapproachgtogcaregandgorganizesgcare
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UESTIONSgANDgCORRECTgANSWERSg(VERIFIEDgANSWERS)TESTg
BANKg|ALREADYgGRADEDgA+|100%gCOMPLETEg PASS
Cgwhatgorgangmightgbeginjuredgingleftglowergribgfxg-gANSspleen
Cgwhichgofgthegfollowinggwouldgbegpriorityginterventiongforgagptgwithgmultiplegribgfractures
gandgchestgwallginstabilitygfollwoinggagmvcgcollisiong-
gANSassistgwithgendotrachealgintubation
CgwhichgofgthegfollwoinggisgagriskgfactorgforgDVTgingthegtraumagpt.g-gANSpelvicgfx
Cthegtermgworriedgwellgwhengreferinggtogdisastergpreparednessgplanninggrefersgto:g-
gANSindividualsghwogthinkgtheyghavegbeengaffectedgbygthegeventgbutgaregasymptomatic
Cthegtraumagnursegwouldgpreparegforgagdefinitivegairwyagforgwhichgofgthegfollowinggcond
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DgAngunrestrainedgdrivergisgbroughtgintogthegemergencygdepartmentgfollowinggagfrontalgi
mpactgMVC.gshegisgpale,ganxious,gandgc/ogSOB.gwhatgisgthegpotentialginjuryg-
gANSLumbargfx
Dgelevatedgcomaprtmentgpressuregcangbegthegresultgofg-
gANShemorrhagegfromgwithingthegmuscle
Dgptgwithgamputationgofgangindexgfingergwithgagknife.gamputaitongisgbroughtgingwithgpt.gitg
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DgrestrainedgdrivergisginvolvedgingagseveregheadgongMVCgandgpresntsgwithgagseatbeltg
markgalonggthegneckgandguppergchestgarea.gbilateralgdecreasedgbreathgsounds,ghemo
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gANStracheobronchialginjury
Dgwhichgofgthegfollowinggdiagnosticginterventiongisgmostgappropriategforgthegunstableg
ptgwithgagsuspectedinternalghemorrhageg-
gANSfocusedgassessmentgwithgsonographygforgtrauma
Dgwhichgphysiologicalgchangegingairwaygofgangodlergadultgptgplacesgthegptgatgriskgforgdiff
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Agagptgsustrainedgagpenetratingginjurygofghisguppergleg.gthegpreghospitalgpersonnelgstate
sgaglargegamountgofgbloodglossgbeforeghemostasiswasgachieved.ghegpresentsgtogthegE
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gANSdecompensated
UESTIONSgANDgCORRECTgANSWERSg(VERIFIEDgANSWERS)TESTg
BANKg|ALREADYgGRADEDgA+|100%gCOMPLETEg PASS
Agag22gyrgoldgwasgstruckgbygagvehiclegwhilegcrossinggthegstreet,gsustaininggmultiplegfxgs
hegisgalertgandgansweringgqestionsgandgcryinggwhatgisgthegbestgmethodgforginitialgpainga
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Agagptgsustrainedgagpenetratingginjurygofghisguppergleg.gthegpreghospitalgpersonnelgstate
sgaglargegamountgofgbloodglossgbeforeghemostasiswasgachieved.ghegpresentsgtogthegE
Rgrespondinggtogpainfulgstimuligwithgmoaning.ghegisgtachyg142gb/pg104/96gandgRRg24g-
gANSdecompensated
Agangunrestrainedgdrivergwasginvolvedgingagfrontalgcollisiongwithoutgairbaggdeployment.g
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dgheartgtonesgthegnursegpreparegforgwhatg-gANSpericardiocentesis
Agduringgassessmentgofgangextremetygwithgsuspectedgpulsesgareg-gANScangbegnormal
Agforgagptwhoghasgundergonegrecentgbariatricgsurgery,gflouroscopygisgrecommendedgtog
placeg-gANSNGgtube
Agidentificationgofgvulnerabilitiesgisgangexamplegofgwhatgphasegofgdisastergmanagementg
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Agingmassgcasualtyg"doinggtheggreatestggoodgforgtheggreatestgnumbergofgpeoplegrefersgt
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Agingneurogenicgshock,galterationsgingvitalgsignsgincludeghypotensiongandgwhichgotherga
bnormalgVSg-gANSbradycardia
AgIngthegprimarygsurveygAVPUgisgperformedgtogdeterminegifgthegpatientgcan:g-
gANSProtectgtheirgaiway
Agpregogtraumagptgdevelopsgtachy,ghypotension,gagrigidegboardglikeguterus,gandgdark,gre
dgvaginalgbleeding.gshegreportsgconstantgbackgpaingwhichgisgincreasing.gthegmostglikely
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Agseveralggroupsgofgpeoplegaregatghighergriskgforgmaltreatmentgincludinggchildren,gelderl
y,gprego,gandg...g-gANSpt'sgwithgdisability
Agthegnursegisgpreparinggtogcleansegangextensivegabrasiongcontaminatedgwithgdirtgandg
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AgThegsystemicginflammatorygresponsegisgagnormalgpartgofgthegbody'sgresponsegtogshoc
kgfromgtraumaticginjury.gwhatgbestgdescribesgthisgresponseg-
gANSitgisgactivatedgbygtissueghypoxiagandgsendsgneutrophilsgtoginjurygsite
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UESTIONSgANDgCORRECTgANSWERSg(VERIFIEDgANSWERS)TESTg
BANKg|ALREADYgGRADEDgA+|100%gCOMPLETEg PASS
AgwhatgisgangearlygassessmentgfindinggtogincreasedgICPgingptgwithgagbrainginjuryg-
gANSvomiting
Agwhengprovidinggcaregforgthegpedicatricgptgwithgburnsgthegpostgresuscitationgcare,ghowg
aregfluidsgdeliveredg-gANSparklandgformulagwithgmaintainencegfluidss
Agwhichgofghtegfollowinggnursingginterventionsgwouldgbegbestgforgtraumitcg -
gANSHOBg30gdegrees
Agwhichgofgthegfollowinggstructuresgwouldgbeghtegmostgaffectedgbygtehgconceptgofgcaviat
iong-gANSLiver
Agwhichgofgthegfollowinggvaluesgisgwithingthegacceptableglimitsgforgtraumagptg-
gANSendgtidalgCO2gofg40
BgagptgfathergarrivesgingtehgERgandgneedsgtogbegtoldghisgsongwasgseverelyginjuredgingag
MVCgandgisgingsurgery,gthegfathergsigagitated,gyelling,gandgsmellsgofgalcohol.gingplannin
ggtogtalkgwithgthegfathergthegtraumagnursegwillg-
gANSdeliverginformationgregardinggthegson;sgcaregingagcalmgvoice
BgagptginvolvedgingangMVCgdevelopsgasymmetricgpupillarygreactivity,gbilateralgpupillaryg
dilationgandgabnormalgmotorgposturing.gwhatgdoesgthegnursegsuspectgasgthegmostglikelyg
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Bgagptgwithginjurygtogthegmiddlegmeningealgarterygisgatgriskgforgwhichgofgthegfollowingg-
gANSepiduralghematoma
Bgangocclusivegdressingghasgbeengappliedgtogagptgwithgagpenetratingginjurygtogthegchest.
gupongassessmentgthegnursegnotesgthatgthegpatientgisgingrespiratorygdistressgnadghasga
bsnetgbreathgsoundsgonghtegaffectedgside.gwhatgisgthegprirorutyginterventiong-
gANSremovegthegdressinggtogthegwound
BgangunrestrainedgdriverginlvolvedgingagMVCgingwhichgalcoholgwasginvoled.ghegdeniesgan
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needgforgradiologicalg-gANSsuspectedgalcoholgabuse
BgptgtogERgaftergbeinggpinnedgtogbrickgretaininggwall.gknwoinggcrushingginjuriesgcangresu
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gANSmyoglobinemiagndgrenalgfailure
Bgthegmostgcommongcausegofgshockgingthegtraumagptgisg-gANSlossgofgcircgvolume
BgthegunrestrainedgfrongseatgpassengergingagMVCgdevelopsgechymosisgaroundgumbillic
us.gthisgassessmentgfindinggisgmostgcommonlygassociatedgwith:g-
gANSbleedinggingthegperitonealgcavity
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UESTIONSgANDgCORRECTgANSWERSg(VERIFIEDgANSWERS)TESTg
BANKg|ALREADYgGRADEDgA+|100%gCOMPLETEg PASS
Bgthinninggskingandgdiminishedgautonomicgresponsegingoldergadultgcanghavegwhatgeffect
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BgwhengassessinggagptgfollowinggagMVCgthegnursesgasksghowgfsatgthegcargwasggoingg-
gANSwhengvolocitygisgdoubledgspeedgisgquadroupled
BgWHichgmaygleadgtogunreliablegpulsegoxgreadingg-gANScarboxyhemoglobin
Bgwhichgofghtegfollowinggsignificantgassessmentgfindignsgisgfrequentlygfoundgingagpatie
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Bgwhichgofgthegfollowingghemodynamicgsupportgstrategiesgisgthegpriorirityginterventiongfo
rgagptgwithgtraumaticgpulmonarygcontusiong-gANSjudiciosgusegofgIVgfluids
Bduringgthegprimarygsurverygwhichgofgthegfollowingghasgtheggreatestgpriorityg-
gANScervicalgspineginjury
Cg32gwkgpregnantgladygarrivesgingergaftergtrappedgingagcargthatgflipped.gtheginitialgasses
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Cgagcollegegstudentgpresentsgtogthegergstatinggafterarrivinggatgagpartyg,gshegawokegingagd
ormgrom.gshegdidntgrecognizegwithgnogmemorygofgthegpreviousgeveninggthegtraumagnur
segpreparegforgwhatgexam.g-gANSsexualgassult
Cgangadultgptginvolvedgingagbrushgfiregarrivesgtogtheger.guponginitialgassessmentgingtheger
gthegmostgconcerninggfindinggisg-
gANShoarsegvoicegandgrepeatedlygdecidesgtogcleargthroat.
Cgangoldergadultgptgfellgingthegbathtubg3gdaysgago.gnowgshegisgexihibitinggdecreasdgLO
Cgandgdifficultygwithgspeakinggandgwalking.gwhichgofgthegfollowingginjuriesgisgmostgeffecti
ve
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Cgeffectivegpaingmanagementginghtegptgiwthgribgfxwillgpromotegwhatg-
gANScoughgwithgabilitygtogcleargsecretions
Cgproperlygrestrainedg6gwkgoldgkidgwasginvolvedgingagMVC.gaftergthegassessmentgandgs
tabilizationgthegptgbecomesgmoregdifficultgtogrouse.grespondinggwithgagweakgcrygtogpainf
ulgstimuli.gthegpupilsgremaingbriskgandgreactive.gtheganteriorgfontanelgisgsoftgandgflat.gwh
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CgWhatgaregthegprimarygbenefitsgofgagteamgapproachgtogtraumagcareg-
gANSitgprovidesgagsystemicgapproachgtogcaregandgorganizesgcare
, TNCCgFINALgEXAMg4gLATESTgVERSIONSg2g2024gCONTAINSg500gQ
UESTIONSgANDgCORRECTgANSWERSg(VERIFIEDgANSWERS)TESTg
BANKg|ALREADYgGRADEDgA+|100%gCOMPLETEg PASS
Cgwhatgorgangmightgbeginjuredgingleftglowergribgfxg-gANSspleen
Cgwhichgofgthegfollowinggwouldgbegpriorityginterventiongforgagptgwithgmultiplegribgfractures
gandgchestgwallginstabilitygfollwoinggagmvcgcollisiong-
gANSassistgwithgendotrachealgintubation
CgwhichgofgthegfollwoinggisgagriskgfactorgforgDVTgingthegtraumagpt.g-gANSpelvicgfx
Cthegtermgworriedgwellgwhengreferinggtogdisastergpreparednessgplanninggrefersgto:g-
gANSindividualsghwogthinkgtheyghavegbeengaffectedgbygthegeventgbutgaregasymptomatic
Cthegtraumagnursegwouldgpreparegforgagdefinitivegairwyagforgwhichgofgthegfollowinggcond
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DgAngunrestrainedgdrivergisgbroughtgintogthegemergencygdepartmentgfollowinggagfrontalgi
mpactgMVC.gshegisgpale,ganxious,gandgc/ogSOB.gwhatgisgthegpotentialginjuryg-
gANSLumbargfx
Dgelevatedgcomaprtmentgpressuregcangbegthegresultgofg-
gANShemorrhagegfromgwithingthegmuscle
Dgptgwithgamputationgofgangindexgfingergwithgagknife.gamputaitongisgbroughtgingwithgpt.gitg
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DgrestrainedgdrivergisginvolvedgingagseveregheadgongMVCgandgpresntsgwithgagseatbeltg
markgalonggthegneckgandguppergchestgarea.gbilateralgdecreasedgbreathgsounds,ghemo
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gANStracheobronchialginjury
Dgwhichgofgthegfollowinggdiagnosticginterventiongisgmostgappropriategforgthegunstableg
ptgwithgagsuspectedinternalghemorrhageg-
gANSfocusedgassessmentgwithgsonographygforgtrauma
Dgwhichgphysiologicalgchangegingairwaygofgangodlergadultgptgplacesgthegptgatgriskgforgdiff
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gANScervicalgarthritisAgag22gyrgoldgwasgstruckgbygagvehiclegwhilegcrossinggthegstreet,gs
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Agagptgsustrainedgagpenetratingginjurygofghisguppergleg.gthegpreghospitalgpersonnelgstate
sgaglargegamountgofgbloodglossgbeforeghemostasiswasgachieved.ghegpresentsgtogthegE
Rgrespondinggtogpainfulgstimuligwithgmoaning.ghegisgtachyg142gb/pg104/96gandgRRg24g-
gANSdecompensated
