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I think most of the acute care is covered. There are few basic things I want to discuss.

What about the c-spine of this patient?????????I would like to see the c-spine secured and will secure it ASAP.

I would like to deal with E perform a good secondary survery and then prooceed to any imaging.

Tachycardia 110 in class2 shock unless proven otherwise and i will treat it with IV crystalloid(preferably RL first bolus of 500ml) and then get a Central line to measure the CVP to be cautious about fluid resuscitation.

I don't buy the point to checking LV dysfucntion when doing FAST scan as i seriously doubt the specificity and sensitivity of this test on the hands of EM physician(no offense......).
I know that we are now moving towards Permissive hypotension and all we are trying to do is avoid any