Treatment on the spot

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  • Treatment on the spot
The patient was examined, what is the minimum necessary care you administer?

Cervical collar, venous access, bolus of colloids/ starch 500 mL, monitoring (ECG, oxygen saturation, blood pressure, heart rate, respiratory rate), Fentanyl IV, pelvic sling, vacuum mattress.

Wrong answer

After major trauma the bleeding occurs. Every alternate solutions in addition to blood derivatives cause coagulation disorders - thin the blood, hence the coagulation factors (coagulopathy is presented). Crystalloids have the least impact, colloid is indicated in certain cases - a large blood loss and the need to maintain circulation, but only after administration of crystalloid.


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Cervical collar, oxygen, venous access, bolus of crystalloid - min. 1.0 L, monitoring (ECG, oxygen saturation, blood pressure, heart rate, respiratory rate), Fentanyl IV, pelvic sling, vacuum mattress, thermal comfort.

Correct answer

Well done, patient was ensured correctly according ABCDE approach.


Continue

Cervical collar, venous access, sustaining infusion of 100 mL, monitoring (ECG, oxygen saturation, blood pressure, heart rate, respiratory rate), Fentanyl IV, pelvic sling, vacuum mattress.

Wrong answer

Steady infusion is not sufficient, since you presume bleeding into the abdominal cavity from traumatic spleen. You can not be fooled by current circulatory stability.


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Help

ECG (Electrocardiography is noninvasive method of recording the electrical activity of the heart over a period of time using electrodes placed on a patient's body)×
 
RR

18 bpm

HR

78 bpm

SpO2

98 %

BP

142/75 mmHg

ECG

not available

 

Gly

not available

ABG

not available

CBC

not available

biochemistry

not available