A 17-year-old boy has fallen from a tree. He is not very coherent and cannot stand. Based on the mechanism of injury, what should you assume?
A. He is likely to have a head injury, which can lead to psychogenic shock.
B. Since he is young, his heart will pump faster to compensate for any shock, so no treatment is needed.
C. There is internal bleeding, which can lead to hypovolemic shock.
D. A pulmonary embolism caused obstructive shock, leading to the fall.
Answer: C
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A? 48-year-old male is complaining of chest pain that he describes as? dull, located? substernally, but radiating to his neck. He rates the pain a 6 on a scale of 1 to 10 and complains of nausea and lightheadedness. His skin is cool and diaphoretic. HR? = 96, BP? = 124/82, RR? = 14, SaO2? = 97%. The? 12-lead ECG is nondiagnostic. In addition to? oxygen, an IV of normal saline at a keep open? rate, and transport to the emergency? department, which of the following would be most? appropriate?
A) Nitroglycerin, morphine, and furosemide B) Reassurance that likely his condition is not cardiac in nature C) Nitroglycerin D) Aspirin, nitroglycerin, and morphine