Your patient is a 21-year-old man with a single, small-caliber gunshot wound to the left anterior chest, just lateral to the sternum at the fourth intercostal space. Bleeding from the wound is minimal. The patient is initially anxious, combative, and diaphoretic. Initial vital signs include a heart rate of 100, respirations of 20, and a blood pressure of 110/80. Breath sounds are clear bilaterally and equal. En route, the patient becomes quieter but still restless. The heart rate increases to 120, respirations are 24, blood pressure 106/88, and breath sounds remain clear and equal. The patient has also developed significant JVD. You are 15 minutes from a Level I trauma center and 5 minutes away from a large community hospital. You should:
A) immediately decompress the left chest and divert to the community hospital for chest tube insertion.
B) immediately decompress the left chest and continue to the trauma center for chest tube insertion.
C) continue to the Level I trauma center for pericardiocentesis.
D) divert to the community hospital for pericardiocentesis.
Question 2
You are assessing and treating a young girl who superficially cut her wrists in a self-stated suicide attempt. Bleeding was not significant and has clotted. While transporting the patient, which one of the following statements is most appropriate?
A) Can you tell me why you tried something like this?
B) This really has upset your parents. How does that make you feel?
C) These cuts are not significant. You didn't really want to do this, did you?
D) I am going to clean these cuts with some water and then wrap them.
Documenting the health history is a crucial step in providing patient care
Eighteen-year-olds were the largest age cohort in the first year of the war in both armies. Soldiers
Olowe Of Ise Veranda Posts (LEFT To RIGHT): Royal Wife With Twin Daughters
Position of cupula with head in still position (left) and when head rotates (right)
You deposit $2000 each year into an account earning 4% interest compounded annually. How much ...
Maternal bicoid patterning of the embryo along the anterior–posterior axis