You are dispatched to a near head-on collision. You are assessing the driver of one of the vehicles while a second unit assesses the other. The patient is a 21-year-old woman who is alert and oriented. She was wearing her seatbelt and the air bag did deploy. Her pulse is 128, respirations 22, and blood pressure 110/60. She has pale, cool, and clammy skin. You notice that her abdomen is rigid and tender to palpation. Which of the following is the most appropriate for this patient?
◦ Apply high-flow/high-concentration oxygen by nonrebreather, apply a cervical collar, rapidly extricate the patient onto a long backboard, treat for hypoperfusion, and transport to the closest appropriate hospital.
◦ Apply a cervical collar, place the patient in a short spinal immobilization device, remove the patient from the vehicle onto a long backboard, and perform a detailed physical exam.
◦ Apply a cervical collar, remove the patient onto a long backboard, and apply high-flow/high-concentration oxygen en route to the nearest trauma center.
◦ Apply high-flow/high-concentration oxygen, apply a cervical collar, rapidly extricate the patient using a short spinal immobilization device, secure the patient to a long backboard, and transport to the closest trauma center.
Client position when assessing jugular vein distention.
head
Indicators for assessing local blood flow
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