Patient Information: Name: J.T. Age: 34 Gender: Male Medica…
Patient Information: Name: J.T. Age: 34 Gender: Male Medical History: No known chronic illnesses, non-smoker, no history of respiratory disease Presentation: J.T. was involved in a high-speed motor vehicle collision while evading police that resulted in his car catching fire. The patient was entrapped for 15 minutes until the fire department could put out the fire and extricate him. Upon arrival, paramedics noted significant burns to both arms, upper chest, head, as well as signs of inhalation injury, including soot in the oropharynx and carbonaceous sputum. Emergency Department Assessment: Vital Signs: BP: 100/60 mmHg, HR: 120 bpm, RR: 30 breaths/min, SpO2: 88% on room air Physical Exam: Alert and oriented although anxious. Hoarse voice and coughing noted. He complains of rib pain with crepitus, and right ankle appears deformed. Partial- and full-thickness burns of both arms, upper chest, head. The physician elects to intubate the patient. Place in order, the actions to take immediately following intubation.
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