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Chapter 13. Management of the Injured Patient

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A 31-year old man with a stab wound to the left neck over the sternocleidomastoid at the level of the lower pole of the thyroid gland

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A. Has a wound in an area that is easily explored in the operating room as most injuries here can be identified and controlled directly

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B. Has a penetrating injury in zone 3

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C. Should have an initial assessment including airway, breathing, and circulation

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D. Should be taken to angiography if unstable

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E. Has little risk of vascular injury

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C. Should have an initial assessment including airway, breathing and circulation

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All of the following are correct about a patient with a systolic blood pressure of 75 torr after a roll-over automobile accident that resulted in the death of another passenger except

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A. Should be transported to a trauma center as expediently as possible

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B. Can have shock due to hypovolemia, cardiac failure, or neurogenic causes

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C. Should have an algorithmic approach to his care in the prehospital and trauma resuscitation phases of care

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D. Should bypass the trauma room and go directly to the operating room

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E. Has a mechanism of injury that places him at substantial risk of being severely injured

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D. Should bypass the trauma room and go directly to the operating room

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Thoracic injuries

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A. Are unusually contributors to the death of a trauma patient

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B. Can cause late deaths due to respiratory failure or sepsis

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C. Can include acceleration/deceleration as common mechanism of a severe aortic injury

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D. Carry a similar mortality in older and younger patients

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E. A, B, and C are all correct

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E. A, B, and C are all correct

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Abdominal injuries

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A. Can only be reliably assessed by CT scan or laparotomy

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B. Require laparotomy and repair for all identified liver parenchyma injuries

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C. Can routinely be evaluated by laparoscopy

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D. Can be evaluated by diagnostic peritoneal lavage ...

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