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Раздел 12 / 27
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CASE STUDIES

1. Victim M. suffered a shrapnel wound to the head. He is unconscious, no reaction to pain stimuli, the pupils are dilated, no reaction to light. Central breathing disorder, no tendineal or pharyngeal reflexes, general muscular atony.

Make a provisional diagnosis. Perform medical triage. Determine the extent of primary medical care and evacuation destination.

2. Victim K. was brought from the scene of a railway accident. Visual examination showed severe deformation of the chest, percussion revealed accumulation of fluid on the right. The skin and visible mucous membranes are cyanotic. Cold sweat. Undetectable pulse and blood pressure. Using accessory muscles for respiration. Muffled heart sounds.

Make a provisional diagnosis. Perform medical triage. Determine the extent of primary medical care and evacuation destination.

3. Victim V. was brought from the scene of the accident. The general condition is severe, non-conversant, bradycardia, high-tension pulse, anisocoria, hemiparesis, arrhythmia and rapid breathing. Blood and cerebrospinal fluid flowing from the ears.

Make a provisional diagnosis. Perform medical triage. Determine the extent of primary medical care and evacuation destination.

4. Victim M. was brought from the scene of the accident. The general condition of moderate severity. Asphyxia, the skin and mucous membranes are cyanotic. Using accessory muscles for respiration. Heavy bleeding from the nose and ears.

Make a provisional diagnosis. Perform medical triage. Determine the extent of primary medical care and evacuation destination.

5. Victim P. was brought from the scene of the accident. The general condition is severe. Respiratory rate over 28/min. Cyanosis. Using accessory muscles for respiration. Pulse over 100 beats/min, blood pressure 80 to 60 mm, hemoptysis. Floating fragment of the thorax. Percussion identifies significant hemopneumothorax.

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