Podcast
Questions and Answers
What was the diagnosis of the 43-year-old male patient?
What was the diagnosis of the 43-year-old male patient?
What was the patient's Glasgow Coma Scale (GCS) score?
What was the patient's Glasgow Coma Scale (GCS) score?
What was the patient's oxygen saturation level?
What was the patient's oxygen saturation level?
What type of catheter was inserted in the patient?
What type of catheter was inserted in the patient?
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What medication was prescribed to the patient for pain relief?
What medication was prescribed to the patient for pain relief?
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What was the location of the chest tube inserted in the patient?
What was the location of the chest tube inserted in the patient?
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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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Description
Assess a patient's condition after high mechanism trauma. Determine the correct primary survey based on the patient's vital signs and symptoms.
