A 27‑year‑old male presents after a motorcycle crash without…
A 27‑year‑old male presents after a motorcycle crash without helmet.Primary SurveyAirway: Vomiting, gurglingBreathing: RR 10 irregular, SpO₂ 91%Circulation: HR 56, BP 178/92Disability: GCS 6 (E1 V1 M4), right pupil 6 mm fixedExposure: Scalp hematomaABGpH 7.31PaCO₂ 49PaO₂ 78CT HeadAcute subdural hematoma9 mm midline shiftWhich ventilator target is MOST appropriate initially?
Read DetailsA 42‑year‑old male is brought to the trauma bay after a moto…
A 42‑year‑old male is brought to the trauma bay after a motor vehicle collision with vehicle fire exposure.Primary SurveyAirway: Hoarse voice, facial burns, copious bloody secretionsBreathing: RR 34, SpO₂ 88% on NRB, coarse bilateral breath soundsCirculation: HR 128, BP 92/58, delayed capillary refillDisability: GCS 9 (E2 V2 M5), pupils 3 mm sluggishExposure: Singed hair, facial and chest burnsLabs & DiagnosticsCOHb: 22%Lactate: 5.6 mmol/LABG on NRB:pH 7.29PaCO₂ 55 mmHgPaO₂ 62 mmHgChest X‑ray: Bilateral infiltratesCT Face/Neck: Severe airway edema, unstable maxillary fracturesWhat is the MOST appropriate airway management strategy?
Read DetailsA 27‑year‑old male presents after a motorcycle crash without…
A 27‑year‑old male presents after a motorcycle crash without helmet.Primary SurveyAirway: Vomiting, gurglingBreathing: RR 10 irregular, SpO₂ 91%Circulation: HR 56, BP 178/92Disability: GCS 6 (E1 V1 M4), right pupil 6 mm fixedExposure: Scalp hematomaABGpH 7.31PaCO₂ 49PaO₂ 78CT HeadAcute subdural hematoma9 mm midline shiftWhich finding MOST strongly indicates immediate intubation?
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