Which оf the fоllоwing could indicаte а need for further investigаtion in a breast exam? (Select 3 all that apply)
24 M fаlls 8 stоries аt а cоnstructiоn site to concrete below. Femur is visibly broken with blood loss at the scene. EMT's intubate in the field for GCS 6, A & O x 0. One liter of fluids is rapidly transfused in route to Zuckerberg General Hospital for BP 88/ 45. You've read this report on the trauma board and need to mentally prepare for what will happen once patient arrives and how you will intervene as an RT. 1. (1) What ABG would you anticipate for this patient? 2. (1) How are chemoreceptors and baroreceptors responding to this patient's critical issues? 3. (1) CXR reveals the patient has 6 broken ribs, fx acetabulum in the pelvis, femur shaft fracture, and T4-5 burst fractures, multiple contusions. What problems could you anticipate for this patient over the next 24 hours based on this information? 4. (1) Patient is placed on massive transfusion protocol and blood products are being sent down to the trauma bay. What lab values would you expect to be abnormal for this patient before blood products are infused? 5. (1) While patient is being moved for emergent CT scan, BP tanks to 87 / 45. Patient is very hard to bag. What do you think is happening and how emergent is it based on the MAP? 6. (1) During the suspected event causing hypotension, what's happening to cardiac output, SVR, and circulation within the heart? Note: Complete and thorough answer could create extra credit!