Shocked

Musculoskeletal System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has experienced both electrical as well as physical trauma following a fall. Nonetheless, his initial evaluation should follow advanced trauma life support (ATLS) guidelines.\n\nThe ABCDEs of the primary survey reveal an already protected airway; mild tachycardia; severe obtundation; and sluggish but reactive pupils. The secondary survey shows a burn over the sternum, as well as two burns over the bilateral medial malleoli. Given the mechanism of injury, the former most likely corresponds to the electrical entry point, and the latter to the exit points. An abrasion of the occipital scalp is also apparent, suggesting that he fell backward off the ladder.\n\nGiven the earlier episode of ventricular fibrillation, a full 12-lead ECG sh"}]}

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