Primary Survey in Trauma Patient

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Questions and Answers

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

  • Cardiac arrest
  • Pulmonary contusions
  • Fracture of the ribs
  • Pneumothorax (correct)

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

  • 10/15
  • 15/15 (correct)
  • 12/15
  • 8/15

What was the patient's oxygen saturation level?

  • 80%
  • 95%
  • 100%
  • 90% (correct)

What type of catheter was inserted in the patient?

<p>Foley catheter 16fr (B)</p> Signup and view all the answers

What medication was prescribed to the patient for pain relief?

<p>Celecoxib 200 mg (A)</p> Signup and view all the answers

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

<p>Right side (A)</p> Signup and view all the answers

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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

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