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(no subject)

KMATTOX at aol.com KMATTOX at aol.com
Mon Aug 28 01:01:00 BST 2006 

 
In a message dated 8/27/2006 6:47:22 P.M. Central Standard Time,  
shebrain1 at yahoo.com writes:

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?
--



I assume that the FAST did not reveal a hemopericardium.   You  describe NO 
reason for a thoracotomy.    Go into abdomen and plan  for damage control.   
 
k

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