A 47-year-old male driver was injured in a moderate speed lateral impact to the driver’s side of the auto.   Upon examination: LOC – alert but confused and anxious Airway – patent Breathing – adequate with good chest rise SpO2 – 96% on ambient air Circulation – pulse deficit (left arm); skin – pale, cool, diaphoretic; no external bleeding noted Signs of injury found during secondary assessment: bruising over sternum, complaint of chest pain, increased chest pain upon palpation, breath sound equal bilaterally.   Vital signs: unable to obtain vital signs on the left side; right side – BP – 90/60; pulse – 130, weak and regular; and respirations – 24, strong and regular   Treatment?   Rapid transport to level 1 trauma center.  Reassessment performed every 5 minutes.

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
icon
Related questions
Question
A 47-year-old male driver was injured in a moderate speed lateral impact to the driver’s side of the auto.

 

Upon examination:

LOC – alert but confused and anxious

Airway – patent

Breathing – adequate with good chest rise

SpO2 – 96% on ambient air

Circulation – pulse deficit (left arm); skin – pale, cool, diaphoretic; no external bleeding noted

Signs of injury found during secondary assessment: bruising over sternum, complaint of chest pain, increased chest pain upon palpation, breath sound equal bilaterally.

 

Vital signs: unable to obtain vital signs on the left side; right side – BP – 90/60; pulse – 130, weak and regular; and respirations – 24, strong and regular

 

Treatment?

 

Rapid transport to level 1 trauma center.  Reassessment performed every 5 minutes.

Expert Solution
trending now

Trending now

This is a popular solution!

steps

Step by step

Solved in 3 steps

Blurred answer
Knowledge Booster
Homeostasis
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.
Similar questions
Recommended textbooks for you
Phlebotomy Essentials
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning