Motor vehicle accident, A 35-year-old man is brought to the

Motor vehicle accident

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Reference no: EM133758956

Question

A 35-year-old man is brought to the emergency department after being involved in a motor vehicle accident. The patient was driving home from a party when he crashed into the concrete barrier lining the highway. He did not lose consciousness. Upon arrival, the patient is yelling in pain and holding his chest and abdomen. Temperature is 37.0°C (98.6°F), blood pressure is 108/72 mmHg, pulse is 108/min, and respiratory rate is 18/min. The patient is alert, in distress, and speaking in full sentences. Physical examination reveals diffuse pain over the anterior chest and abdomen. Strength and sensation are intact in all extremities. Laboratory testing is notable for an elevated blood alcohol level. A single-view chest x-ray is obtained and is demonstrated below. Which of the following is the next best step in the management of this patient's condition? Image reproduced from Radiopedia Elimination tool Needle thoracostomy Endotracheal intubation Placement of figure-of-eight brace Exploratory laparotomy Administration of fomepizole.

Reference no: EM133758956

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