Following a motor-vehicle crash in which his truck struck a utility pole, a 56-year-old male complains of pain to the mid-chest and difficulty breathing. Your assessment reveals an ecchymotic area over the mid-sternum. His blood pressure is 110/70 mm Hg, pulse is 120 and irregular, and respirations are 24 breaths/min with adequate depth. In addition to spinal immobilization, appropriate treatment for this patient includes:
A. supplemental oxygen and a large-bore IV set to keep the vein open.
B. assisted ventilation, two large-bore IVs, and a 20 mL/kg fluid bolus.
C. supplemental oxygen and stabilization of the sternum with a sandbag.
D. supplemental oxygen and application of an AED in case of cardiac arrest.
Ans: A. supplemental oxygen and a large-bore IV set to keep the vein open.
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