▼︎ (Scenario: 3) Mike - bouldering --
Story
One of your friends fell 12 feet off a high bouldering problem landing on the edge of an exposed rock on his right side. Mike presents sitting, awake and alert with the following S/Sx:
SAMPLE History
Symptoms
Sharp, knife-like pain (8) in the right side of his chest
Allergies
None
Medications
None
Past Medical History
Unremarkable
Last Intake & Output
Food intake: dehydrated potatoes & eggs three hours ago for breakfast
Water intake: 1 liter
Sodium intake: adequate
Urine color & output: light yellow with normal output
Stool color & consistency: normal: light brown & firm
Events
Remembers incident in detail; did not lose consciousness
Physical Exam
Tender ribs on the right side of his chest with some crepitus. He is unable to take a deep breath.
Tender upper right abdominal quadrant
Vital Signs
Awake & anxious
Normal resting pulse is 58 and regular
Current pulse rate is 105 and regular
Current respiratory rate is 28 and slightly labored
Skin is pale, cool, and moist
Temperature, blood pressure, and oxygen saturation were not taken
Focused Spine Assessment (FSA)
Unreliable
21)Does Mike have the MOI for and the S/Sx of volume shock? Which option below best describes Mike’s current and anticipated problems?
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Choose one.
Current problem > Anticipated problem
A)MOI = hit in the lower chest/abdomen/pelvis/femurs > Early volume shock due to internal bleeding B)Early volume shock due to internal bleeding > Late volume shock C)Late volume shock due to internal bleeding > Death D)None of the above