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A 21-Year-Old Man Is Brought to the Emergency Department After

question 66

Multiple Choice

A 21-year-old man is brought to the emergency department after being stepped on by a bull approximately 30 minutes ago. The patient was bucked off of the bull, whose hind feet landed on his chest. On arrival, blood pressure is 75/50 mm Hg, pulse is 140/min, and respirations are 24/min. On examination, the patient moans in pain but does not answer questions. Two hoof prints are seen in the middle of the chest. He has decreased bilateral breath sounds, and crepitus is present over the anterior chest walls bilaterally. The abdomen is soft and nondistended. There is no obvious injury to the extremities, but they are cool, and capillary refill is decreased. Bilateral chest tubes are immediately placed, and 1.5 L of blood is returned from each side. Vital signs do not improve after placement of chest tubes. Four units of packed red blood cells are prepared for transfusion. What other blood products, if any, should also be administered at this time?

Definitions:

Authoritarian

A leadership or parenting style marked by strict discipline, high demands, and low responsiveness to subordinates' or children's input.

Authoritative

A leadership or parenting style characterized by high demand and high responsiveness, where authority is exercised with care and concern.

Permissive

A parenting or managerial style characterized by low demands with high responsiveness, where parents or leaders are indulgent and lenient, often resulting in minimal rules.

High-SES

Referring to individuals or groups with a high socioeconomic status, characterized by a high level of income, education, and occupation prestige.