Question

B 1 US A. E 1. A patient approximately 20 years of age without identification presents to the trauma unit on a backboard with cervical collar in place. The patient was ejected from the driver's side of the car. The patient was oriented * 3 at the scene and able to move all four extremities. The patient stated he passed out and regained consciousness quickly. Within 5 minutes, the patient became lethargic, had slurred speech, and the right pupil was unequal and sluggish. Before becoming comatose, the patient had complained of chest pain when he breathed, and there was an imprint of the steering wheel on his chest in the form of a bruise. As he breathed, paradoxical chest movements were noted on the right side of the chest. The trachea is deviated to the right side. The trauma team, consisting of the trauma surgeon directing the team, two nurses and a resident, provided care. The initial vital signs were as follows: temperature, 100 degrees Fahrenheit; Blood pressure, 78 / 42 mm Hg; heart rate, 70 bpm; respiratory rate, 28 breaths / min, uneven rapid breathing with periods of apnea. The pulse oximetry reading is 85 % on room air. Two large IVS are established, and labs, including Arterial blood gases, are obtained and sent to the lab for immediate processing. An indwelling urinary catheter is inserted, and 300 mL of amber - colored urine without sediments is noted. An initial survey is completed to assess for obvious problems, and steps are taken to prioritize the needs of the patient and provide emergent treatment. (Learning Objective 2) a. What are the possible injuries to the patient according to the information presented in the initial presentation, and what medical - surgical management is anticipated? Answer : Chest injury, Brain injury, Neck injury, ||

Answer 1

Answer: According to the information presented in the initial presentation, the injuries are on Brain, chest injury. The slurred speech, right pupil unequal shows that the patient got major head Injury. The pain in chest is due to the pressure that occured due to collision with stearing.

The medical and surgical management of the head is performed to prevent the second injury that could occur. This is also known as traumatic head injury. This will manage the blood supply and oxygen to the brain so that the brain can work properly.