A man who has fallen from the roof of a two-story house has obvious bone injuries to his lower extremities and is bleeding freel
y from a wound to his left side. He has a blood pressure of 104/54 mm Hg, a thready pulse of 128/min, and shallow respirations of 28/min. After securing his airway and giving oxygen by mask at 10 liters per minute, you should next: A) splint the bone injuries.
B) record his vital signs again.
C) apply and inflate a pneumatic counterpressure device.
D) control the bleeding from the wound.
The asnwer is D) control the bleeding from the wound.
Explanation:
Controlling bleeding from the wound is the most important initial measure that should be carried out, since if this bleeding persists, it can lead the patient to hypovolemia due to acute bleeding with the risk of falling into shock. Depending on the type of bleeding he is presenting, this will be the initial management of bleeding and assess the risk that the patient runs to continue it. Once the bleeding has stopped, the fracture (s) that the patient presents is evaluated.
