From the ER doc's perspective....
Screen for domestic violence
Screen for immunization status
Screen for HIV
Screen for flu
Screen for TB
Screen for hepatitis
Start Medicaid application
Apologize for the long wait
Refer to clinic for primary care
I think for the airway I'd prefer a Glidescope or fiberoptic bronch in any event. Quick question, say the intubation attempt failed, and with the laceration/hematoma at or about the cricothyroid membrane, were you thinking that you might go more inferior and do a bedside trach? Or was the anatomy clear enough to allow you to do the cric?
Since he's going to the OR anyway, would an intraop transesophageal echo provide some help in decision making since you couldn't get much info from the FAST? At least you would know where the pericardium sits on your "to do" list. Or would this take too long to setup and perform while everyone is scrubbing in?
Looking forward to reading more. Great case!
'zilla