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unstable pt with low GCS

Mathias Kalkum listen at doc-kalkum.de
Mon Dec 8 17:13:57 GMT 2008


Khumar,
> The presence of hypotension with a distended abdomen after blunt trauma and a positive FAST exam are strong indications for abdominal exploration.
>   

- snip - I fully agree with what Juan has said. I'd be careful with
fluids until control of the bleeder has been reached. Hypertonic saline
sounds good to me.

> - snip -  CXR shows widened mediastinum w NG in the L thorax - snip -

Nobody has yet lost a word upon this, maybe at this time you are able to
give us more details on your patient. What did you do, what did you find?

Mathias


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