28 yo M involved in a high speed motorcycle accident. He was not wearing a helmet. He is groaning and utters, “my belly”, “uggghhh”.
HR 134 BP 87/42 RR 32 SaO2 89% on 100% facemask
Brief initial exam: pt is drowsy but arousable to voice, has large hematoma over L parietal scalp, airway is patent, decreased breath sounds over R chest, diffuse abdominal tenderness, obvious deformity to L ankle
What are the management priorities at this time?
What are this patient’s possible injuries?
What are the interventions that need to happen now?
Allergies, medications, PMH, last meal, events
Physical exam from head to toe, including rectal exam