High-speed motor vehicle collision

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Case Study: Rapid Sequence Intubation (RSI) in a Trauma Patient Background: You are part of a trauma team in a busy Emergency Department (ED). A 35-year-old male has been brought in after a high-speed motor vehicle collision. The patient was unrestrained and struck the steering wheel, resulting in severe chest pain, decreased consciousness, and labored breathing. He has a Glasgow Coma Scale (GCS) score of 9 (E3, V2, M4). The patient is becoming progressively more hypoxic, with an oxygen saturation (SpO2) of 85% despite high-flow oxygen via non-rebreather mask. He is not maintaining his airway effectively due to facial trauma, and his respiratory status is rapidly deteriorating. Presenting Signs and Symptoms: Age: 35 years Chief Complaint: Severe chest pain, difficulty breathing Vitals: Blood Pressure: 95/58 mmHg (mild hypotension) Heart Rate: 112 bpm (tachycardia) Respiratory Rate: 28 breaths/min (tachypnea) SpO2: 85% on non-rebreather mask GCS: 9 (E3, V2, M4) Physical Examination: Bilateral crepitus over the chest (possible rib fractures) Decreased breath sounds on the right side Deformity of the mid-face (suspected facial fractures) Jugular venous distension (indicating possible increased intracranial pressure or hypovolemia) The patient is becoming progressively more difficult to ventilate and is at risk for complete respiratory failure. Intubation

Reference no: EM133805585

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