neurom wrote:
I would go with B as the initial step. Then E.
No. try again.
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| Ivonne
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ABC first
Will go with D, maybe because of anticipated difficult intubation. 
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| DrVirgo
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neurom wrote:
I would go with B as the initial step. Then E.
That was my reasoning as well, because I thought an expanding hematoma in the neck means he will soon lose his airway and it's an indication for intubation... 
but I guess that was wrong in this case
This is the right answer word for word:
The correct answer is C.
The patient's respiratory distress is the result of postoperative bleeding causing airway compromise. The very first step would be to open the wound at the bedside to adequately relieve the hematoma, which is much easier than using a large-bore needle to aspirate and thus creating another wound site (ChoiceA).
Once the hematoma is evacuated, the patient should return to the operating room (choice E) for control of bleeding.
It is difficult to intubate the patient (choice B) or to perform a hracheostomy (choice D) until the compression caused by the hematoma is resolved.
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| RX 135
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intubation has its complications think of much easier manuevre before intubating
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| neurom
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I knew we should open the wound at some point, but thougt of intubation as a MUST...
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