Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
3 Cards in this Set
- Front
- Back
|
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 2 liters of crystalloid solution 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. 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
re-examine chest perform aortogram get a CT of chest obtain ABG perform TEE |
Re-examine 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 are strong and there is no other deformity. The suspected diagnosis is most likely to be confirmed by
angiography compartment pressures retrograde urethrogram doppler US complete spine xray |
complete spine xray
|
|
|
The principle of balanced resuscitation is:
permissive hypotension and early plasma infusion equal amounts of crystalloid and colloid management of breathing and circulation simultaneously maintenance of normal acid base achieving pulse rate of less than 90 |
permissive hypotension and early plasma infusion
|
