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Chapter 14. 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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The correct answer is 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 rollover 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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The correct answer is D. Should bypass the trauma room and go directly to the operating room
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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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The correct answer is E. A, B, and C are all correct
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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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