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No ABC’s? I can’t tell from the picture but he looks like me might be intubated.
One of the things that was stressed to me during my trauma months was that no matter how spectacular the injury is (i.e. arterial injury with blood spraying everywhere or a knife sticking out of someone’s head) you always start at what will kill the patients first. No one specifically said what the injury mechanism was but if it was powerful enough to do that it seem like there is a good change there are other injuries that might compromise airway and breathing.
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