Approach to penetrating chest injury Quiz: Ace Your Exams
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A 22-year-old man presents to the emergency department after being stabbed in the chest with a knife. On initial airway assessment, the patient is unresponsive to voice and he is promptly intubated in the trauma bay. Bilateral lung sounds are present and circulation is intact. Temperature is 35 °C (95 °F), heart rate is 128/min, blood pressure is 72/30 mmHg, and respiratory rate is 16/min. Labs are drawn and pending. GCS is 3. On physical exam, there is a laceration from a knife wound located in the third intercostal space on the right in the midclavicular line. There are decreased lung sounds with auscultation and dullness to percussion on the right. An extended FAST shows fluid within the right pleural space. A chest tube thoracostomy is performed on the right with an immediate return of 1700 mL of sanguinous fluid. While the trauma team continues exposing the patient, which of the following is the most appropriate next step in management?
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