CCS-motor vehicle accident, pericardial effusion - skype

[ArchivalUser]

pulse ox
oxygen
iv access
iv normal saline
cardiac monitor
bp monitor
ekg 12 leads

physical exam

pericardiocentesis

pericardial fluid -gram stain
pericardial fluid cell count
pericardial fluid c&s

abg
cbc
bmp
ua
esr
cxr
echo
pt/ptt
blood type cross match
telemetry
cardiac enzymes
iv ceftriaxone
cardiology consult

move the clock forward

admit to Icu

npo
bed rest
cbc
bmp
esr
echo

interval history

reassurance
patient education
medication complaince
safe sex
seat belt use
no smoking
no alcohol
no illegal drug use


This case came for the exam

Guys anything more is there.I was not getting this please add

[ArchivalUser]

what do you mean by not getting this? I agree with most of your management.
I would monitor pt with EKG and abg, echo in the icu again. Just to be sure. Do c-spine immobilization, cxr, axr, spine xray, pelvic xray if indicated. it all depends on the case by case base.
cefotriaxone is probably not needed unless clinically indicated.