Approach to trauma (pediatrics) Quiz: Ace Your Exams
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A 10-year-old boy is transported to the emergency department by ambulance after falling off a skateboard and striking the left side of his chest against the pavement. Past medical history is unremarkable, and no medications are taken. Temperature is 37.0°C (98.6°F), heart rate is 124/min, respiratory rate is 30/min, blood pressure is 100/68 mmHg, and oxygen saturation is 91% on room air. The child is alert but appears mildly anxious. The primary survey shows a patent airway. On examination, there are scattered abrasions on the left chest wall, decreased breath sounds on the left, and mild chest wall tenderness. Percussion reveals hyperresonance on the left. No external signs of major trauma are noted. Cardiovascular examination reveals normal heart sounds without jugular venous distension. Peripheral pulses are strong, and capillary refill is 2 seconds. Which of the following is the best next step in management?
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