Car accident in which she was restrained driver

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Reference no: EM133803103

Question

A 16-year-old girl, Carolina, presents to the emergency department as a trauma alert following a car accident in which she was the restrained driver. Emergency medical services reports that she has been poorly responsive. She is tachycardic and hypotensive on arrival. No external signs of bleeding are present, so she is taken to the operating room for exploratory laparotomy, where a splenic laceration is discovered. The laceration is successfully repaired; however, she requires multiple transfusions of blood products during the procedure. She is admitted to the surgical ICU for postoperative management. A 6-hour postoperative SCr level is 1.1 mg/dL, and the surgical intern notes that this is consistent with her baseline SCr level of 0.9 mg/dL listed in the medical record. Despite this, the astute intern recommends continued monitoring of SCr as it can be a delayed indicator of renal injury. What is the time frame following an acute renal insult during which SCr typically peaks?

Reference no: EM133803103

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