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Chapter: 27 / Q: 15
A 34 year old man after a car crash is in the emergency department and deteriorating. His GCS has fallen from 13 to 7. What is the most appropriate next step?
Chapter: 27 / Q: 16
34 year old man was brought to the emergency department after a RTA (road traffic accident). BP 50/0mmHg and chest wall not moving symmetrically, RR (respiratory rate) is 34bpm. What would be initial action?
Chapter: 27 / Q: 17
A young man who was held by the police was punched while in custody. He is now cyanosed and unresponsive. What is the 1st thing you would do?
Chapter: 27 / Q: 18
A 16 year old teenager was brought to the emergency department after being stabbed on the upper right side of his back. Erect CXR revealed homogenous opacity on the lower right lung, trachea was centrally placed. What is the most probable explanation for the X-ray findings?
Chapter: 27 / Q: 19
A 14 year old boy fell and hit his head in the playground school. He didn’t lose consciousness. He has swelling and tenderness of the right cheek with a subconjuctival hemorrhage on his right eye. What is the most appropriate initial investigation?
Chapter: 27 / Q: 20
A patient was admitted to the emergency department after a head injury. When examined on arrival his GCS was 15 and then at night his GCS deteriorated to 12. What investigation should be done?
Chapter: 27 / Q: 21
A 32 year old miner is rescued after being trapped under a fallen rock for 4h. After applying a bladder catether, 15-20ml of reddish brown urine was obtained. HR 120bpm, SBP 100mmHg. What would be the next appropriate step?
Chapter: 27 / Q: 22
A 27 year old man presents to the emergency department after an RTA (road traffic accident) where his foot was stuck under a truck for several hours. He now has swelling on the foot. Examination: foot tenderness, loss of sense in the space between the metatarsal and big toe and his dorsalis pedi
Chapter: 27 / Q: 23
A man presents with abdominal pain, vomiting, pulse 120bpm, BP 90/60mmHg and a rigid abdomen. His chest is clear. What is the immediate management?
Chapter: 27 / Q: 24
A 34 year old man was involved in a RTA and whilst in the ambulance his GCS deteriorated and RR increased from 30-48. What is the most appropriate management for this patient?
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