4.8 of 12 Ratings
Wedge Pressure (PCWP) (Preload)
A 34-year-old man presents to the emergency department by ambulance after being involved in a fight. On arrival, there is obvious trauma to his face and neck, and his mouth is full of blood. Seconds after suctioning the blood, his mouth rapidly fills up with blood again. As a result, he is unable to speak to you. An attempt at direct laryngoscopy fails as a result of his injuries. His vital signs are pulse 102/min, blood pressure 110/75 mmHg, and O2 saturation 97%. Which of the following is indicated at this time?
Continuous positive airway pressure (CPAP)
Select Answer to see Preferred Response
A 17-year-old male is brought to the emergency department following a motor vehicle accident. He has suffered several wounds and is minimally responsive. There is a large laceration on his forehead as well as a fracture of his nasal bridge. He appears to be coughing and spitting blood. He is already wearing a soft collar. Vitals are as follows: T 36.4C, BP 102/70 mmHg, HR 126 bpm, and RR 18 rpm, and SpO2 is 88% on RA. He has 2 peripheral IVs and received 2L of IV normal saline on route to the hospital. There is frank blood in the oropharynx. Breath sounds are present bilaterally. Abdomen is distended and tender. Pulses are 1+. Which of the following should be the first step in management?
Blood transfusion with unmatched blood
Focused Assessment with Sonography for Trauma (FAST) scan
Type and screen for matched blood transfusion
A 46-year-old male was found unconscious in the field and brought to the emergency department by EMS. The patient was intubated in transit and given a 2 liter bolus of normal saline. On arrival, the patient's blood pressure is 80/60 mmHg and temperature is 37.5C. Jugular veins are flat and capillary refill time is 4 seconds.Vascular parameters are measured and are as follows:Cardiac index - Low; Pulmonary capillary wedge pressure (PCWP) - Low;Systemic vascular resistance - High.Which of the following is the most likely diagnosis?