A 22-year-old male is dropped off by his friends after a dirt bike crash. He was wearing a helmet but no other protective clothing. His friends report he lost control over a jump and impacted a tree. He did not lose consciousness but reports chest pain, difficulty breathing, and abdominal pain. He also has pain in his right wrist. He is moved to a room, and the nursing staff remove his clothing, place a cervical collar, and apply a cardiac monitor/pulse ox. He is awake, alert, and oriented. You begin your primary survey and note the following: Airway–open and clear Breathing–rapid, shallow breathing with diminished breath sounds on the right. You note a contusion to the right chest. Circulation–carotid, radial pulses are present but rapid. Skin is pale. There are scattered abrasions and minor lacerations but not significant hemorrhage. Disability–CAOx3. Moves all extremities grossly–pain in right wrist with deformity noted E–All clothing is removed. Ecchymosis was noted in the right upper abdomen. What are your first steps, in the next 5-10 minutes?
[Verified Answer]: A 22-year-old male is dropped off by his…
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