Year Presents Emergency Assignment Help: How to Answer This Question

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Original Question

32-year-old man presents to the emergency department by ambulance after a gunshot wound to his left neck. Vital signs include temperature of 98.6°F, pulse of 110 beats/min, respiratory rate of 16 breaths/min, blood pressure of 110/65 mmg and oxygen saturation of 100% on 2L of oxygen by nasal cannula. Physical examination demonstrates an anxious patient who is not in respiratory distress. His airway is patent, and auscultation of the chest demonstrates bilateral breath sounds and normal heart sounds. There is a penetrating wound to his left neck with no active bleeding. Palpation of the soft tissue of the neck and upper chest produces a crunching sound. He has normal strength and sensation in his upper and lower extremities. The primary and secondary survey are otherwise unremarkable. What is the next best step in the management of this patient? • (A) CT angiography of the neck B) Emergency surgery (C) MRI of the cervical spine (D) Needle thoracostomy . (E) Rapid sequence intubation

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