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DISCUSSION
ATLS COURSE FOR DOCTORS
fluid
11. A 36 y/o woman is beaten about the head and face, and is
brought to the local community hospital in full spinal immobilization,
His BP is 130/88 mmHg, HR is 70/minutes, and RR is 18/minute.
Pulse oximetry indicated 98% Hb saturation while she is being given
100% Oxygen via non rebreathing mask. Her aireway is clear. She is
marked swelling of her face and several superficial lacerations of her
scalp that are not actively bleeding. She does not respond to verbal
stimuli, but localizes to the painful stimuli and opens her eyes, She
moves all extremities equally. The remainder of fer physycal
examination is normal. There is no neurosurgeon at the local
hospital. After ensuring a patient aireway, the most appropriate
course of action is to
(a) admit the patient to the hospital for observation
(b) obtain x ray of her facial bones prior to transfer
(c) obtain complete x ray evalution of the cervical
spine
(d) transfer the patient to a neurosurgeon without
performing CT Scan
(e) perform DPL or request abdominal ultrasonorgraphy
31. A skier loses control and falls 15 meter from the edge of