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          Changed
              Mon, 07/09/2018 - 10:49
          Display Headline
              Unresponsive Woman Extricated From Car
          Issue
              Clinician Reviews - 23(4)
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      Topics
          
      Page Number
              14
          Legacy Keywords
              Radiology, car crash, accident, extrication, intubated, large-bore IV lines, saline infusing, acetabular fracture, displaced, femoral, dislocated
          Sections
          
      Issue
              Clinician Reviews - 23(4)
          Issue
              Clinician Reviews - 23(4)
          Page Number
              14
          Page Number
              14
          Publications
          
      Publications
          
      Topics
          
      Article Type
              
          Display Headline
              Unresponsive Woman Extricated From Car
          Display Headline
              Unresponsive Woman Extricated From Car
          Legacy Keywords
              Radiology, car crash, accident, extrication, intubated, large-bore IV lines, saline infusing, acetabular fracture, displaced, femoral, dislocated
          Legacy Keywords
              Radiology, car crash, accident, extrication, intubated, large-bore IV lines, saline infusing, acetabular fracture, displaced, femoral, dislocated
          Sections
          
      Questionnaire Body
              
An unidentified female is brought in as a trauma code. She was apparently in a motor vehicle crash, the specific details of which are unclear. Emergency medical personnel describe extensive damage to her vehicle, which resulted in a pro-longed extrication time. Due to unresponsiveness at the scene, she was intubated in the field. The patient is probably in her late 30s to early 40s. She has two large-bore IV lines with normal saline infusing at a wide-open rate. Blood pressure is 90/60 mm Hg and heart rate, 140 beats/min. She has several superficial lacerations on her head, her pupils are fixed and dilated, and there is minimal withdrawal to pain in her extremities. No other trauma is im-mediately evident. Portable radiographs of her chest and pelvis are obtained prior to sending her for CT. Pelvis radiograph is shown. What is your impression?
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