To the Emergency care was hospitalized a young man (35) after a car crash accident. He was riding a bike and crashed into the car because of his carelessness and almost have no visible trauma, but car-driver decide to bring him to hospital for final examination to be sure everything is all right.

Case 8 

To the Emergency care was hospitalized a young man (35) after a car crash accident. He was riding  a bike and crashed into the car because of his carelessness and almost have no visible trauma, but  car-driver decide to  bring him to hospital for final examination to be sure everything is all right.The  root take them about 40 minutes 

   In the Emergency room patient began to tremble, periodically lost his conscious, verbal response became confused, motor response to localized pain only, eyes opened by a verbal command.His skin has became pale, almost white, cold. His abdomen shows positive sliding ( Voskresensky) symptom, saturation-96-94%,ECG shows sinus tachycardia, weak pulse on the radial artery.   FAST protocol of examination shows free liquid in Morrison space. 

        Questions 

1.What is FAST and eFAST?What changes do the FAST shows in heart in this case? 2. Count the Glasgow scale points for this patient 

3.Why do symptoms occur an hour after the occasion and why? 

4. Your further diagnostic and treatment  tactic of argumentation.

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