You are called to a motor vehicle collision. A 26-year-old female states that she was unrestrained and struck the steering column with her chest after the car she was driving struck another from behind. She is somewhat confused, and complaining of chest pain and difficult and painful breathing when she inhales. Her airway is patent and her breathing is adequate. Assessment of the radial pulse reveals it to be rapid and very irregular and weak. She has cyanosis in her nose and finger tips. Her breath sounds are clear and equal and skin moist and pale. She informs you that she suffers from asthma and has a metered-dose inhaler (MDI). What is your best action in treating this patient?

Question

Quizplus · Accepted Answer

The patient is showing signs of shock, likely due to internal bleeding from the chest injury. The irregular and weak pulse, cyanosis, and pale skin all indicate poor perfusion. Applying supplemental oxygen can help improve oxygenation and perfusion until the patient arrives at a hospital for definitive treatment. The use of CPAP is not indicated in this case, as the patient's breath sounds are clear and equal. Transporting the patient in a position of comfort may worsen her condition if she has internal injuries. While assisting with the patient's MDI may be helpful for her asthma, it is not the priority in this situation.

You Are Called to a Motor Vehicle Collision