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They dispatch us to an emergency at 9 am in the morning, central tells us that it is a traffic accident in the AV Simon Bolivar, a female patient of more than 26 years of age who loses track in his vehicle and crashes against a pole of light.

When we arrive at the scene, it is unsafe, there is no national police presence, we request the arrival of traffic officers.

We secure the scene with security tape around the collapsed vehicle, patient is on the floor to one side of the vehicle.

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We must look at a normal patient without alterations, without injuries, that the patient is conscious.

We found the patient in the left lateral decubitus

Patient is unconscious.

Patient breathes

Has a cutting wound on the left arm

Presents pulse

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We must find normal noises, unaltered vesicular murmur, normal palpitations, and air-fluid noises.

On pulmonary auscultation, decreased vesicular murmur in both lungs.

On cardiac auscultation, heart with rapid palpitation, tachypnea.

Normal hydro-air sounds

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We must ask Lord listen to me, are you okay, if you remember what happened.

We asked the patient Miss, can you hear me? We do not receive an answer

¿Miss can you open your eyes? Unanswered

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We must perform a cephalo-caudal examination to find possible lesions.

As the patient presented decreased vesicular murmur, we proceed to perform a head tilt-chin lift maneuver to improve breathing.

We must touch each cavity in search of injuries, we found a cutting wound on the left arm that we corrected with a bandage.
we check the pulse of the patient.

We palpate and percuss the abdomen