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What would you do?

Rafael Pinheiro rsnpinheiro at yahoo.com.br
Tue Nov 28 22:35:20 GMT 2006


Hi I´m Rafael from Brazil, I received this pacient and I´d like to know what would you do in this case:
   
  Pacient, 24 years old, motorcycle´s accident victim with history of important alcohol ingest.
  A - clear
  B - trachea central. decreased breath sound in right base chest. Sat. O2 96-97%. no   emphysema subcutaneous.
  C - Pulse 85bpm, BP 80x40mmHg (after 1.5 liter of crystaloid fluid) No external haemorrhage
  D - GCS 14 (E4 - V4 - M6),  pupils equal and reactive, agitated
  E - complaining of abdominal pain and he has a diffuse rigid abdomen
   
  What would you do in this situation?? 
   
  Thank you 

 		
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