Patient scheduled for IM Nail femur S/P MVA unrestrained driver 3 days ago. Patient was intubated with obvious polytrauma. Bruising over chest and abdomen. FAST was negative in ER, but has multiple large bone fractures and pulmonary contusions from CXR. He has been improving and was recently extubated and is on a simple FM when you see the patient in preop.

Labs:

H/H 8/24

Chem 8 WNL

CXR - still shows contusions, but opacity is improving

12 lead:
Screen Shot 2012-10-22 at 9.18.53 PM.jpg

What are your concerns with the preop data I have given you?

Please let students take this one first...