CD Home Page
Surgery Cases
Case List History Objectives Radiology Images Questions
TRAUMA
Case #1 -
A 34 year old shot in the L upper chest

DISCUSSION QUESTIONS:
1.) What is your immediate concern after the primary survey?  Answer 
2.) What findings do you look for on physical exam?  Answer 
3.) What is a quick temporary management of a sucking chest wound?  Answer 
4.) What is the definitive management of this chest injury?  Answer 
5.) What other diagnosis is obvious from the secondary survey?  Answer 
6.) What other structures may be injured based on the presumed path of the bullet?  Answer 
7.) What diagnostic workup is needed?  Answer 
8.) What events must you watch for in the first 4-6 hours?  Answer 
9.) What are indications that he needs ventilatory support?  Answer 
10.) How much blood loss through the chest tube indicates need for operative intervention?  Answer 
12.) What are differences between hypovolemic shock and neurogenic or spinal shock?  Answer 
11.) What are the well-accepted indications for emergency department thoracotomy?  Answer 
 
  The Virtual Patient > Case List > TRAUMA - Case # 1