Your Patient Is a 60-Year-Old Female Restrained Driver Involved in a Moderate-Speed

Multiple Choice

Your patient is a 60-year-old female restrained driver involved in a moderate-speed frontal impact collision. When you arrive at the scene, she is sitting up in the driver's seat with a chief complaint of a burning sensation in her face. You note abrasions from deployment of the airbag. After immobilizing the patient on a long backboard, you begin transport. As you perform a detailed examination, the patient complains of developing right shoulder pain. Which of the following should you suspect?

A) Myocardial contusion
B) Intraabdominal bleeding
C) Exacerbation of the patient's arthritis due to immobilization on the backboard
D) Shoulder contusion or possible clavicle fracture due to restraint by the shoulder harness