A 22-year-old man is brought to ED after a high-speed motor vehicle crash. A chest X-ray performed on arrival is shown below.
Supine chest X-ray.
List three injuries shown on the X-ray and give a management strategy for each.
(Marked out of 6.0)
/ 6
Pelvis X-ray is normal, FAST is negative, and there is no long-bone or external bleeding. His observations are shown below. You decide to intubate him. State four changes from standard RSI and give the rationale for each.
(Marked out of 4.0)
| Finding |
Result |
| GCS |
13 |
| Pulse |
130/min |
| Blood pressure |
80/55 mmHg |
| Respiratory rate |
40/min |
| Oxygen saturation |
90% on 15 L/min via non-rebreather mask |
/ 4
Total Score: 0 / 10
Percentage: 0%
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