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Atls Post Test Questions and Answers 10th Edition PDF  Form

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a 19-year old man hiking in the national forest fell ten feet through a rotten plank in an old wooden bridge to the rocky stream below he was transported to the emergency department within 30 minutes complaining of chest pain he is hypotensive on arrival to the emergency department what do you do a two liter bolus crystalloid be send to the or see crack the chest D 1 liter bolus crystalloid e CT chest abdomen and pelvis the answer is d 1 liter bolus crystalloid in a TLS 10 initial fluid bolus has been decreased to 1 liter instead of 2 liter crystalloid because bleeding patients need the bleeding to be stopped and they need blood so this is now the focus start giving blood if no improvement after the initial one liter fluid bolus there is much greater focus on massive transfusion protocol the other things mentioned may be indicated at some point in this patients care but he initially needs fluid resuscitation in a severely injured patient the risk for coagulopathy is high which of the f

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