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Jago Miloguz japrak at gmail.com
Tue Aug 29 00:27:02 BST 2006


that depands on whether the chest drainage is showing any acitve bleediing
still, and if not 400 mL is amount that can be tolerable if there is no sing
of any more active bleeding. do the laparotomy and recheck thorax. reusus
with crystalloid, check renal function for low BE, consider NaHCO3 8.4% if
not responsive to fluids.
ante


2006/8/28, saad shebrain <shebrain1 at yahoo.com>:
>
> 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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