You are treating a 26-year-old man who fell about 20 feet while rock climbing. He is complaining of right sided chest discomfort and dyspnea. You note that his respiratory rate is 28 and shallow. Based on this assessment, the best emergency care would be:
a. achieving spinal immobilization, splinting the affected area of the chest, and administering high-flow oxygen.
b. performing a rapid body survey and assisting ventilations with BVM and high-flow oxygen.
c. achieving spinal immobilization, administering high-flow oxygen, and then performing load and go.
d. placing the patient in a position of comfort to help breathing, performing an L.A.P. exam of the thorax, and administering high-flow oxygen.
Question 2
You are treating a 26-year-old man with a pneumothorax. The patient's breathing has been inadequate, and you have been assisting his ventilations with a bag valve mask. The patient's condition seems to be worsening. Because you understand the physiology involved in a pneumothorax, you are most concerned that:
a. you are not maintaining an adequate seal around the facemask, and thus the patient is not getting enough oxygen.
b. the pressure from the BVM is causing more air to enter the pleural space and is causing a tension pneumothorax.
c. the patient's airway is not being maintained, so you should insert an oropharyngeal airway.
d. you may have missed an injury.
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