If a trauma patient cannot be assessed properly in his or her vehicle, you should:
A) apply a rigid cervical collar, perform a rapid assessment only, and then remove the patient with the two-person lift technique.
B) maintain manual stabilization of the head, apply a cervical collar, and move the patient from the vehicle onto a long backboard.
C) apply a vest-type extrication device and then rapidly remove him or her from the vehicle using at least three people.
D) grasp the patient behind the shoulders, cradle his or her head in your arms to protect the spine, and rapidly extricate him or her from the car.
Answer: B) maintain manual stabilization of the head, apply a cervical collar, and move the patient from the vehicle onto a long backboard.
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Preoperative Diagnosis: Right initial inguinal hernia and umbilical hernia Postoperative Diagnosis: Same Procedure: This 78-year-old patient was taken to Surgery, where he was prepped and draped in the normal sterile fashion. Incision was made from 2 cm above the pubic tubercle toward the anterior iliac spine and deepened to the external oblique. The external oblique was opened. The patient’s
cord was elevated on a Penrose drain. He had a very large direct inguinal hernia, no indirect hernia. All of the areas were freed up, and a piece of mesh was designed in a keyhole fashion and sutured in place with 2-0 Prolene, avoiding the nerve. Irrigation was performed. The external oblique was closed with 2-0 running chromic. Irrigation was performed again. Scarpa’s fascia was reapproximated using 3-0 chromic, and the skin was closed with staples. The umbilical hernia was then dissected out after an incision was made beneath the umbilicus. The hernia sac was removed. The fascia was closed with figure-of-eight sutures of 0 Prolene. 2-0 chromic was used to tack down the skin and also reapproximate the subcutaneous area. A running subcuticular of 4-0 Vicryl was placed and Benzoin and Steri-Strips were applied. A dry sterile dressing was applied to each. Betadine was applied to the hernia. The patient was returned to the recovery room in stable condition. a. 49505–RT, 49585 b. 49520–RT, 49585 c. 49505–RT, 49585, 49568 d. 49507–RT, 49585, 49568