At 1100 the driver of a vehicle involved in a motor vehicle…
At 1100 the driver of a vehicle involved in a motor vehicle crash is admitted. Emergency Medical Services (EMS) reports it was a difficult extrication on scene as the steering wheel was pushed into patient’s chest. The assessment data are below: Time Lung Sounds Heart Sounds BP HR O2 Sat Cardiac Index 1100 Clear to all fields, equal bilaterally S1, S2 145/85 102 96 4.5L/min/m2 1200 Clear to all fields, equal bilaterally S1, S2, Muffled 80/68 132 82 1.6L/min/m2 An arterial line was placed at 1200 and the nurse notes that the patient’s systolic blood pressure drops 15 mmHg with each inspiration. Which condition is represented by the history and table above?