A 40-year-old woman who was a restrained driver in a motor vehicle crash is
evaluated in the emergency department. She is hemodynamically normal and found
to be paraplegic at the level of T10. Which of the following are true regarding her
evaluation and management?
~~ - Neurogenic shock is l...
A 22-year-old man is hypotensive and 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:
✓✓~~ - *Re-examine the chest*
- Perform an aortogram
- Obtain a CT scan of the chest
- Obtain ABG analysis
- Transesophageal echocardiography
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:
✓✓~~ - complete spine x-ray series
, Which of the following is true regarding the initial resuscitation of a trauma patient?
✓✓~~ - A patient with a torso gunshot wound and hypotension should receive crystalloid
fluid resuscitation until the blood pressure is normal
-* Evidence of improved perfusion after fluid resuscitation could include improvement
in Glasgow Coma Scale score on reevaluation*
- Massive transfusion is defined as transfusion of more than 10 units of packed red
blood cells and plasma within 24 hours
- When tranexamic acid is administered by pre-hospital providers, a second dose is
required within 24 hours
- Fluid resuscitation is far more important than bleeding control in trauma patient
In managing a patient with a severe traumatic brain injury, the most important initial
step is to:
✓✓~~ - Secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss
of 2 liters. Which one of the following statements applies to this patient?
✓✓~~ - His pulse pressure will be widened.
- His urinary output will be at the lower limits of normal. xxx
- He will have tachycardia, but no change in his systolic blood pressure.
- *An ABG would demonstrate a base deficit between -6 and -10 mEq/L.*
- His systolic blood pressure will be maintained with an elevated diastolic pressure.
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