Your patient is the? 23-year-old female victim of an attempted abduction at knifepoint. The assailant was interrupted and drew his knife across the? victim's throat as he fled the scene. A first responder on the scene immediately applied direct pressure to the neck wound. Your assessment reveals a very agitated young woman with ongoing blood loss despite direct pressure to the wound. There appears to be both? bright-red bleeding and slower but steady? dark-red bleeding. It appears that the trachea has not been penetrated but that there is a hematoma around the laceration. Which of the following is the most appropriate sequence of intervention for this? patient?
A) Apply a pressure dressing to the wound, accompanied by pressure-point compression.
B) Use rapid sequence intubation of the patient to protect the trachea from the expanding hematoma while maintaining direct pressure on the wound.
C) Apply an occlusive dressing to the wound, and continue direct pressure.
D) Apply direct pressure, and request an order from medical control to decompress the hematoma.
Answer: B) Use rapid sequence intubation of the patient to protect the trachea from the expanding hematoma while maintaining direct pressure on the wound.
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