Pop Quiz #2

From the ATLS manual…

A 22yo male was “minding his own business” when he what shot multiple times with a 9 mm handgun in right thigh and left shoulder. Upon arrival in trauma bay #1 you perform your initial assessment and begin resuscitation efforts.  Based on your initial assessment, you suspect that this upstanding member of the community is suffering from hemorrhagic shock. What is the most likely initial indication that a patient may have hemorrhagic shock?

A. Change in mental status

B. Depressed systolic blood pressure

C. Distended neck veins

D. Muffled heart sounds

E. Tachycardia

F. Thready pulses

Answer to be posted in the comments.


About ER Jedi

I’m a resident doctor in Emergency Medicine and I’ve learned during the past few years that 1) I’ve had some pretty amazing experiences 2) I have a very bad short-term memory. So this blog is just a place for me to write about some of these experiences, from the ER, medical school, the wards and life in general. At least that way I’ll have some idea as to where I’ve been all this time. A scrap-book of sorts, a place to vent, organize some clinical tools and post a few good songs I’ve heard along the way.

Posted on June 5, 2011, in Pop Quiz. Bookmark the permalink. 7 Comments.

  1. Thready pulses seem most likely-others have more plausible benign causes.

  2. ThirstyScholar

    Thready Pulses is my vote, too. Although you’re supposed to always respect tachycardia …

  3. ThirstyScholar

    As an aside, any chance you can enable posting using wordpress ID’s ? signing in is so 1999 😉

    • I’ve looked into this and am having a hard time figuring out how to do it exactly. Do you know of an example self hosted wordpress (ie NOT blogname.wordpress.com) blog that has this feature so that I can ask them how they did it?

      • Thirsty Scholar

        Alas, I’m totally clueless on this. I even tried googling it … sorry for complaining without a solution …


  4. @Thirsty – I’ll look into it, I agree it would be best to provide multiple options for posting. If you know how to do it, please let me know. I am pretty sure it will require a plugin so I’ll have to figure out which one works best.

  5. B, E and F all look good to me! 😦

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