Page 1 of 2: Emergency Med--Multiple trauma--first step

ALCOOR · Credits: 264 My Scrapbook

Pt. came with multiple trauma. Which will you treat first ?
a.-Tension pneomothorax
b.-Cardiac tamponade
c.-Aortic rupture
d. -Skull fracture with visible brain

zorro · Credits: 4120 My Scrapbook

I would go for option c, aortic rupture.
If i am wrong,enlighten me

regards

lollu · Credits: 778 My Scrapbook

in trauma, always its airway,breathing and circulation so the answer would be tension pneumothorax

ALCOOR · Credits: 264 My Scrapbook

Thank you.

vladimir · Credits: 12142 My Scrapbook

me to go 4 pneumothorax......ABCD.....

IN THE CASUALTY u can do it by inserting one wide bore needle to the 2md intercostal space

simv · Credits: 3490 My Scrapbook

agree with vladimir..

tension pneumo

zorro · Credits: 4120 My Scrapbook

As per books you guys are right with ABCDE...but don't you think Aortic Rupture is most dangerous among all and should get our attention first?

regards

drlouis · Credits: 5374 My Scrapbook

if the patient is still alive........with all these developing at the same time..........

then........after stabilizing through simultaneous ICD/NEEDLE DRAINAGE (pneumothorax) and pericardiocentesis (for cardiac tamponade) ----aortic rupture can be tackled --if diagnosed early --with supports

.......what about the head injury?

medicohelp · Credits: 760 My Scrapbook

Definetly I 'd go with Tension Pneumo
ABCDE Approach is not made for fun .It 's based on worldwide best statistics institution.
So, I 'll Decompress by 2nd intercostal space, midclav. line 14 gauge needle/catheter.meanwhile, Blood is prepared on rapid transfuser , Pericardiocentesis is performed at the same time calling Cardio Thoracic Surgeon for Aortic Rupture. (I ,here, agree with drlouis)

About the head injury, it 'sn't asimmediately life-threatening as the previous 3,so no priority. Unless we enter the famous debate about the gain of resusscitating such a patient without any possible improvement neurologically(for organ donation,!!!?)

BTW: I 've just had interview with staff of S.T.E.P.S. course for begining it in 3 weeks . I might have a second thought abot this question,then.

P.S: I 've many MCQ questions like this , I may share if u want and leave them for discussion.

All the best .
medicohelp
Emergency Physician

ishit · Credits: 132 My Scrapbook

i wanna go wd tension pneumothorax

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