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IMF-044-02-0001-en	Why can a normal initial blood pressure or scan not end trauma assessment?	Compensation hides injury and bleeding evolves, so resuscitation proceeds as repeated hypothesis testing guided by mechanism and response to treatment.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0002-en	Why must a pelvic binder be placed at the greater trochanters rather than over the iliac crests?	At the trochanters it reduces pelvic volume and motion, limiting bleeding; placed over the iliac crests it is ineffective.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0003-en	By what mechanism can rapid-sequence induction precipitate arrest in hypovolaemia, tamponade or tension pneumothorax?	Induction removes sympathetic tone and positive-pressure ventilation reduces venous return, so patients depending on both can lose their circulation.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0004-en	Why can needle decompression of tension pneumothorax fail, and what provides more definitive relief?	Inadequate catheter length, kinking, clot or wrong position can defeat it; finger thoracostomy or tube drainage is more definitive according to setting and expertise.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0005-en	Why is ionised calcium monitored and replaced during transfusion for haemorrhage?	Citrate in transfused blood binds calcium, which reduces cardiac contractility and coagulation.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0006-en	Which injuries can a negative focused ultrasound scan fail to exclude?	Retroperitoneal, hollow-viscus, diaphragmatic and early intraperitoneal injury, so serial examination and repeated scanning are used to detect evolution.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0007-en	What do hypertonic saline, mannitol and brief controlled hyperventilation achieve in herniation, and what can they not do?	They create time for neurosurgical treatment but do not remove the mass causing herniation.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0008-en	In suspected opioid toxicity, what is naloxone titrated to, and why not to full arousal?	It is titrated to restore ventilation, because pushing for full arousal can provoke withdrawal.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0009-en	Why is an early poor motor response alone insufficient grounds to withdraw treatment after cardiac arrest?	Sedatives, paralysis, hypothermia, shock and metabolic failure confound neurological assessment, so prognosis is multimodal and delayed until timing and confounders permit.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0010-en	Why must the limiting symptom be identified when assessing functional capacity before surgery?	Functional capacity integrates cardiac, respiratory, musculoskeletal, neurological and motivational limits, so inability to climb stairs may reflect knee pain rather than myocardial reserve.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0011-en	Why is bridging not applied universally when anticoagulation is stopped before surgery?	Stopping anticoagulation reduces bleeding but may expose mechanical valves, recent thrombosis or high-risk atrial fibrillation, and bridging itself causes bleeding, so the hazards are balanced.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0012-en	Why should new postoperative delirium prompt investigation rather than reassurance?	Delirium may be the first sign of sepsis, hypoxia, urinary retention, withdrawal, pain or medication toxicity, so deterioration is never dismissed as just surgery.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0013-en	When reassessing limb compartments, why is a palpable pulse not reassuring?	Compartment compromise is tracked through pain, pain on passive stretch, tension, sensation and movement, and the presence of a pulse does not exclude compromise.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending
IMF-044-02-0014-en	During massive transfusion, why does a rise in blood pressure alone not prove haemostasis?	Pressure can rise while bleeding continues, so transfusion requirement, drain output, abdomen and pelvis, peripheral perfusion and the acid-base trajectory are all examined.	Integrated Medical Foundations; chapter 44, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: d11d342b2db2b860645b3f524cb7dd9404105169657ec03f043b7e373691d351; editorial review pending	imf lang::en chapter::044 module::044-02 review::pending