Case 25 Part 2



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What's inside?


 

Defibrillator pad mark
Chest contusion
Y-shaped incision
Sternocleidomastoid muscles
Hemorrhage
Liver
Mild decomposition
Adhesions
Greater omentum
Peritoneal fluid
Gallbladder
Stomach
Small intestine
Large intestine
Taenia coli
Subcutaneous fat
Central line site



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Discussion Questions


 

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1. Just based on physical exam, was the patient found right after his accident or much later?
 
 
2. Just based on physical exam, did the patient die immediately after his accident?
 
 
3. How much trauma is there on external exam?
 
 
4. How much trauma is there on initial opening (assessment of the rib cage)?
 
 
5. How much of any internal trauma you see is from the accident and how much is from therapeutic maneuvers (CPR, line placement, etc.)?
 
 
6. How much internal injury do you expect inside the chest based on this video?
 
 
7. Remind yourself (view history) how fast the patient was going. Do the findings in the video fit for the speed?
 
 
8. At that speed, what circumstances might have lead to significantly more injury than this patient had?




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