ATLS10 2023/2024 POST-TEST Q&A VERIFIED 4. A 30-year-old male sustains a gunshot wound to the right lower chest, midway between the nipple and the costal margin. He is brought by ambulance to a hospit ... al that has full surgical capabilities. In the emergency department he is endotracheally intubated, fluid resuscitation is initiated through two large-caliber IV lines, and a closed tube thoracostomy is performed, with the return of 200 ml of blood. A chest x- ray reveals correct placement of the chest tube and a small residual hemothorax. His blodd pressure is now 70/0 mmHg, and his heart rate is 140 beats per minute. His hypotension is most likely due to: a. Tension pneumothorax b. Massive hemothorax c. Pericardial tamponade d. Intraabdominal bleeding e. Insufficient isotonic crystalloid infusion [Show More]
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