Primary Survey in Trauma Patient

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DeliciousMistletoe
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6 Questions

What was the diagnosis of the 43-year-old male patient?

Pneumothorax

What was the patient's Glasgow Coma Scale (GCS) score?

15/15

What was the patient's oxygen saturation level?

90%

What type of catheter was inserted in the patient?

Foley catheter 16fr

What medication was prescribed to the patient for pain relief?

Celecoxib 200 mg

What was the location of the chest tube inserted in the patient?

Right side

Study Notes

Primary Survey

  • Patient is a 43-year-old male who experienced high-mechanism trauma and presented with pneumothorax
  • Airway (A): patient is able to talk and handle secretions
  • Breathing (B): reduced air entry on the right side with an oxygen saturation of 90%
  • Circulation (C): BP is 130/79, PR is 114, and intact peripheral pulses
  • Disability (D): GCS is 15/15, pupils are reacting bilaterally
  • Exposure (E): no obvious deformity

Intervention

  • Chest tube inserted on the right side
  • IV cannula in the left hand with a gauge of 20
  • Foley catheter of 16fr

Diagnostic Results

  • CT scan reveals right pneumothorax, pulmonary contusions, and fractures of the right first, left first, and left second ribs

Medications

  • Clexan: 40mg
  • Esomeprazole: 40mg
  • Celecoxib: 200mg
  • D5/NS: 100ml/h

Assess a patient's condition after high mechanism trauma. Determine the correct primary survey based on the patient's vital signs and symptoms.

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