A 17-year-old boy was admitted to the hospital and was found to have a traumatic brain injury of unknown severity, a small pneumothorax, multiple sternal fractures, and a large, complex laceration of the anterior aspect of the left knee. He was immediately taken to the ICU. Diagnosis and Examination Doctors diagnosed the patient with a severe concussion with a depressed Glasgow Coma Scale score of 15 by the time he was admitted to hospital (severe concussion). He had an open patellar fracture with a 20 cm laceration to the left thigh, significant chest trauma with suspected cardiac contusion, and a pneumothorax that was treated with a right-sided chest tube.
The patient was kept on a ventilator for two days due to cardiac abnormalities on his EKG and other indications of cardiac contusion. This was ultimately confirmed by echocardiogram. What treatment would you have practised to…