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A 36 years old male presents to the emergency with h/o multiple stab wounds in chest and abdomen with a 6 inch knife. there is no significant visible bleeding. vitals are BP 60 palpable, PR 120 feeble, temp 98F. upon examining he is pale, cyanotic and cold. JVD is +ve. breath sounds are decreased on the right side. what is the next best step:
A. pericardiocentesis
B. x ray chest expiratory film
C. x ray chest inspiratryfilm
D. large bore needle placement in the pleural space
E. N/S infusion from lage bore IV line
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1st gv iv fluid...if nt corrected den i wud go for for d..
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d? i guess its because of the decreased venous return intension pneumothorax that the CO is low..could be E too
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the cause of shock here is tension pneumothorax.. i think d should be the right answer
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ABC first comes breathing.
i'll go with d
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bt uw says always 1st gv 2l iv fluid....if dont correct ...den rx acc to site of bleeding..
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hmm..got it dmaha...b comes 1st ..den c...
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dddd..iv fluids are not first step as there is hemothoroax here which is where bleed occuring so that shud be corrected first then iv fluids
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D ............... save the life
