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(no subject)

saad shebrain shebrain1 at yahoo.com
Mon Aug 28 00:46:24 BST 2006 

30s year-old M. sustained MVC, seatbelted, ejected from the car, GCS in field 1-2-1, hypoxeic during transport sat 40-70% (Transpost Time 35 in), on arrival pt was was intubated BP 115/70, HR 152, Femoral line inserted and resusucitation started. Initial Hb 10, sec Hb 8. Sat 70s-85%, CXR: L mod HTX, Ct inserted 400ml initial. FAST positive for fluid in abdomen. ABGs pH 7.09, PaO2 430 (on 100FiO2), BE -15.
  What cavity should be entered first? Abdomen (obvious) or chest? Or both?

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