ATLS MCQ #1A 22 year old man is hypotensive and tachycardic after a shotgun wound tothe left shoulder. His blood pressure is initially 80/40 mmHg. After 2 litersof crystalloid solution his blood press ... ure increases to 122/84 mmHg Hisheart rate is now 100 beats per minute and his respiratory rate is 28breaths per minute. His breath sounds are decreased in the left hemithorax,and after initial IV fluid resuscitation, a closed tube thoracostomy isperformed for decreased left breath sounds with the return of a smallamount of blood and no air leak. After chest tube insertion, the mostapproriate next step isa) reexamine the chestb) perform an aortogramc) obtain a CT scan of the chestd) Obtain arterial blood gas analysese) perform tranesohageal echocardiographythe answer is d ; but a website said a(and a makes more sense to me. so i'll go with a)info: chest tube insertion, p.108 [Show More]
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