A 32-year-old firefighter presents with multiple injuries af…

A 32-year-old firefighter presents with multiple injuries after an explosion. She is gasping for air and complaining of severe light-headedness and weakness. She is breathing shallow and has equal lung sounds. During the explosion, a piece of wood pierced her thoracic wall at the fifth intercostal space along the left sternal border. She is confused, cyanotic, and JVD is present. Her apical impulse is diminished. Vital signs are BP 90/80, P 130, and R 30. You suspect

A 32-year-old firefighter presents with multiple injuries af…

A 32-year-old firefighter presents with multiple injuries after an explosion. She is gasping for air and complaining of severe light-headedness and weakness. She is breathing shallow and has equal lung sounds. During the explosion, a piece of wood pierced her thoracic wall at the fifth intercostal space along the left sternal border. She is confused, cyanotic, and JVD is present. Her apical impulse is diminished. Vital signs are BP 90/80, P 130, and R 30. You suspect

Your 16-year-old baseball player was hit in the chest by a l…

Your 16-year-old baseball player was hit in the chest by a line drive and collapsed on the pitcher’s mound. Bystanders report tonic-clonic seizure activity before he became completely unresponsive. They also report applying an AED and shocking the patient twice prior to your arrival. Currently, vital signs are BP 94/50, P 84, and R 12. You suspect

Your 23-year-old female patient was involved in a motor vehi…

Your 23-year-old female patient was involved in a motor vehicle crash. She has a scalp laceration that is spurting bright red blood, an avulsion on her left leg that has dark red blood steadily flowing from it, and blood oozing from abrasions to her elbows. You should first