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* trauma er
 #139197  
  cjay - 11/16/06 22:27
 
  A 28-year-old male sustains a gunshot wound to the back, just medial to the left scapula. Field blood pressure is 98/p, pulse is 101, and respiratory rate is 38. En route to the ED, he received high-flow oxygen and 1 L normal saline. He is agitated and diaphoretic on arrival. You are unable to hear heart sounds because of ambient noise, but the neck veins appear normal. Blood pressure starts to decrease and respiratory status worsens over the next few minutes, but he is still conscious and oriented. Given that all of the following interventions are available, what is the MOST appropriate next step?

(A) Emergent bedside cardiac ultrasound
(B) Emergent thoracotomy
(C) Immediate needle decompression of the left chest
(D) Immediate blood transfusion
(E) Immediate chest x-ray

 
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* Re:trauma er
#561879
  fnzo - 11/17/06 03:57
 
  cccc
 
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* Re:trauma er
#562643
  focuseddoc - 11/17/06 15:04
 
  c..pneumothorx  
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