Quote:
Originally Posted by 11Ber
1) Activate Helo launch
2) Seal up that backside with a gang of Hyfins
3) Bi-lat 14g x 3.25" Needle drops on the mid-ax line not mid-clavicular...probably going to produce some blood but then at least we know.
4)500cc Hextend via 18g or 16g to see if he is a responder or if I have bleeding in the box
5) Wouldn't run O2 or C-Collar. I have read and believe several studies pointing to the toxicity/lethality of O2 in trauma situations and C-collars causing injury. 91% O2 Sat is concerning but dude just got shot in the thorax; it isn't a quality of O2 being brought in problem, it's a he is having a failure to exchange due to blood in his plueral space.
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No issues with this except for #5.
Even with a ptx or htx, high flow O2 will increase the diffusion of O2 across the alveoli. Addressing the cause of his poor oxygenation is probably more important, but maximizing his FiO2 is still an intervention that will benefit him.