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A 57 year old male was at home painting the ceiling when he fell and hit his head...

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asked Jun 4, 2015 in Medicine by Rajesh Bahara

A 57 year old male was at home painting the ceiling when he fell and hit his head.  He initially was lethargic and then became alert. The wife did call EMS who brought him to the ED for a check up. While in the ED, he again became drowsy. A quick neurological exam revealed mild weakness on the left side. Vital signs revealed a BP of 140/75, R 8, P 100 and T 98.5. His GCS was 9. It was decided to intubate him in the ER and send him to the ICU for further management. After he was intubated, a CXR was obtained, which is shown below.

 

After reviewing the above CXR, the next step in his management is:
a. Obtain CT scan of head
b. Lumbar puncture
c. Left chest tube
d. Bronchoscopy
e. Pull ET tube proximally

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Best answer
e. Pull ET tube proximally
answered Jun 4, 2015 by Rajesh Bahara
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