Oral Board Review: Trauma Resuscitation

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An oral board case of a trauma resuscitation, presented by Drs. Mel Herbert and Jess Mason, with commentary by Drs. Mahadevan and Swadron

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Tags Chest Tube EM:RAP Live FAST Hemothorax Oral Board Oral Boards Case Oral Exam Pelvis Trauma Pneumothorax Trauma Trauma/Resuscitation

Luis R. -

The only thing, I was may doing different on this case, as soon I saw the CT with Midline shift, I would use Hypertonic, Mannitol, and maybe increase RR on Ventilator.

Ramy A. -

fair enough

marisa g. -

this patient is clearly herniating, why was neuroprotective strategy not critical action? elevate head of bed, hyperosmolar therapy, low normal Co2 etc... his vitals were starting to stabilize w blood and fluid so I would think he would need immediate surgical decompression of his subdural above all else..

marisa g. -

..also w/o these neuroprotective strategies he will, it seems based on the case, certainly progress to brain death before laying this patient flat in an OR for elap he needs surgical decompression, hypertonics and evd otherwise he is only going to the OR with trauma to become an organ donor..thoughts?

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