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  #1  
Old 03-12-2011
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Emergency Unconscious 47-year-old man with femur fracture

An unconscious 47-year-old man is brought to the accident unit 30 minutes after a road traffic accident. He has sustained multiple fractures of the femur. The radial pulse rate is 130/min, with a systolic pressure of 60 mm Hg and a diastolic pressure of 30 mm Hg. His skin is cold and pale.
Which one of the following is the best action as initial management?
A. CT scan of the femurHead injury
B. IV line and rapid transfusion of fluid
C. MRI of the femur
D. Intravenous administration of pethidine for pain relief
E. Intravenous prophylactic antibiotics
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  #2  
Old 03-12-2011
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B. IV line and rapid transfusion of fluid




infusing isotonic saline rapidly ..... will it cause pontine myelinolysis ? i think so ?

but still this is correct option
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  #3  
Old 03-12-2011
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i will go with B to bring back the pressure to normal 1st
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Old 03-12-2011
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will go with B, restore blood pressure and circulation.
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Old 03-12-2011
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Quote:
Originally Posted by prataptetali View Post
B. IV line and rapid transfusion of fluid




infusing isotonic saline rapidly ..... will it cause pontine myelinolysis ? i think so ?

but still this is correct option
Pontine myelinolysis is a complication of rapid correction of hyponatremia with hypertonic fluids. Isotonic fluids don't cause myelinolysis.

I will go with B. Our primary concern is rapid IV fluid resuscitation in this hemodynamically unstable patient.
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Old 03-12-2011
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Yes. Poly trauma in shock! Prompt rehydration-B.
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Old 03-14-2011
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Default don1

Quote:
Originally Posted by Seetal View Post
An unconscious 47-year-old man is brought to the accident unit 30 minutes after a road traffic accident. He has sustained multiple fractures of the femur. The radial pulse rate is 130/min, with a systolic pressure of 60 mm Hg and a diastolic pressure of 30 mm Hg. His skin is cold and pale.
Which one of the following is the best action as initial management?
A. CT scan of the femurHead injury
B. IV line and rapid transfusion of fluid
C. MRI of the femur
D. Intravenous administration of pethidine for pain relief
E. Intravenous prophylactic antibiotics
B--u wana save him, dont u?
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  #8  
Old 03-20-2011
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yeah id go with B too. thanks guys. just confirming. i didnt have the answer to this question.
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  #9  
Old 04-22-2011
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Default ralph

B...iv line, rapid transfusion.
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  #10  
Old 04-23-2011
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" IV line , rapid transfusion"
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