Approach to trauma Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
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A 22-year-old man is brought to the emergency department after sustaining multiple gunshot wounds. According to the patient's friend, he has no significant past medical history and does not take any medication. Upon arrival, the patient appears pale and confused. Temperature is 36°C (96.5°F), pulse is 136/min, respirations are 28/min, blood pressure is 81/54 mmHg, and oxygen saturation is 90% on room air. The patient has bilateral breath sounds and 2+ pulses in the upper and lower extremities bilaterally. Capillary refill is 4-5 seconds. The patient has a GCS of 9. Pupils are 2-3 mm, equal round, and reactive bilaterally. The patient is exposed, and warm blankets are applied. IV access is established, and supplemental oxygen is applied. O-negative blood is administered. The secondary survey reveals a single gunshot wound just inferior to the sternum. A chest x-ray and pelvic x-ray are obtained and unremarkable. A FAST examination is performed showing free fluid. Blood work is obtained and pending. Which of the following is the best next step in management?
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