You are reassessing a young female who sustained blunt trauma to the chest in a motor vehicle collision. What assessment finding best indicates that she is deteriorating and in the decompensatory phase of shock?

Seeking and recording pertinent negatives demonstrates which of the following?

A) Charting by exception B) Thoroughness of your examination C) Thoughtfulness of your care D) Use of the PERT-NEG format

When a COPD patient leans forward braced in a tripod position, this lends particular advantage to which accessory muscles of inspiration?

a. External intercostals b. Pectoralis c. Scalenes d. Sternocleidomastoids