Four patients present to you following an accident at the local university. A “dirty bomb” reportedly detonated in the cafeteria. The victims are as follows: Professor who sustained a large laceration to the left thigh and is hypotensive (systolic blood pressure in the 70s), tachycardic (heart rate of 150), and nonresponsive Undergraduate research assistant who sustained no immediate injuries but is concerned that he may have inhaled some of the expanding gas during the blast Graduate student who has a headache, is concussed, and has ash and debris on his clothing Firefighter with no immediate injuries but is quite emotionally concerned about the potential for exposure What is the appropriate order in which these patients’ conditions should be managed?
