dimps
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A 73-year-old woman is found apneic and pulseless on the medical floor. She had been admitted to the hospital 2 days prior for management of her hypothyroidism. She was diagnosed with severe hypothyroidism and started on intravenous thyroid hormone replacement. Her nurse found the patient unresponsive in the bathroom. The patient was lying on the floor, blue, and without a palpable pulse. An emergency was called. The patient was unable to be intubated by either an anesthesiologist or a medical house officer present at the emergency. By the time you arrive, you are told that there were at least three attempts to secure the airway by laryngoscopy, none of which were successful. The patient has no pulse, she is not breathing, and is non-responsive. The most appropriate immediate intervention is to
A. attempt a surgical airway
B. attempt to re-intubate the patient with a new laryngoscope
C. begin chest compressions and the ACLS algorithm for ventricular fibrillation
D. call a surgeon for an emergent cricothyroidotomy
E. deliver 100% oxygen by face mask
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| meg
Forum Guru
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A
(cricothyroidotomy)
not D because you dont need to wait for a surgeon, it is an emergency.
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| dimps
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hi meg i was also thinking the same way ....but they have given answer as D
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| meg
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dimps,
who are this 'they', I mean which resource?
meg
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| dimps
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these Q are from kaplan CD
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| almozaffar
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U're right Dimps, it's the Kaplan CD?
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thanks a lot
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