GOGETA
Trying to get in PGY1
Topics: 381
Posts: 3,072
|
In the course of a robbery, a young woman is stabbed repeatedly. On arrival at the emergency department, she is shivering and asks for a blanket and a drink of water; she is noted to be pale and perspiring. Her blood pressure is 72/50 mm Hg and her pulse is 130/min. Her neck and forehead veins are large and distended. A quick initial survey reveals entry wounds in her left chest and upper abdomen. She has bilateral breath sounds and a scaphoid, nontender abdomen. As IV infusions of Ringer's lactate are started, her systolic blood pressure drops further to 40 mm Hg, no distal pulses can be felt, and she loses consciousness. Her central venous pressure at that time is 28 cm H2O. Which of the following is the most appropriate next step in management?
a)Chest x-ray to direct further therapy
b)Bilateral chest tubes
c)Diagnostic peritoneal lavage
d)Evacuation of the pericardial sac
e)Crash laparotomy in the emergency department to clamp the aorta
___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
|
| liliaeliz
Forum Elite
Topics: 47
Posts: 429
|
d
___________________
sos el sol de mis dias
|
| drms
Forum Guru
Topics: 14
Posts: 947
|
D
___________________
“It is a funny thing about life; if you refuse to accept anything but the best, you very often get it.”
|
| mikky
Forum Elite
Topics: 17
Posts: 536
|
e???
___________________
zero tolerance to terrorism!!!
|
| KKIQ
Forum Newbie
Topics: 0
Posts: 8
|
D ITS D
|
|
| |
| | | | | |
