Final answer:
The emergency room doctor must consider the bleeding risk posed by coronary heart disease medications and monitor cardiovascular stability while managing Theo's traumatic injuries.
Step-by-step explanation:
When Theo, who has existing coronary heart disease, is involved in a car accident and presents with a large contusion on his leg and significant bleeding from his right arm, the emergency room doctor must consider several factors informed by his medical history. First, the doctor must assess the risk of bleeding complications associated with coronary heart disease and the medications Theo might be taking, such as blood thinners, which could exacerbate the bleeding. Additionally, the presence of coronary heart disease necessitates careful monitoring of Theo's cardiac function, given the stress of trauma and the potential for cardiovascular instability. The management of his wounds must balance the urgent need to control bleeding with the risk of further impairing his heart condition.
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