Final answer:
The PASG is absolutely contraindicated in patients with pulmonary edema because the external pressure applied by the device can exacerbate the edema and worsen the patient's condition.
Step-by-step explanation:
The subject of the question is the use of the Pneumatic Anti-Shock Garment (PASG), a medical device sometimes used in pre-hospital care of trauma patients. The question asks which condition would make the use of PASG absolutely contraindicated.
Among the choices given, PASG is absolutely contraindicated in patients with pulmonary edema. This is because the device works by applying external pressure to the lower extremities and abdomen, potentially causing a further increase in intrathoracic pressure, and exacerbating the edema. It could also impact breathing, causing more harm in a patient with pulmonary edema.
In cases of osteoporotic fractures, which are a common consequence of osteoporosis, the priority is managing pain and preventing complications such as deep vein thrombosis, pulmonary embolism, and pneumonia. Although PASG isn't typically used in these scenarios, it's critical to consider contraindications like pulmonary edema when evaluating any intervention for fractures from osteoporosis. Osteoporotic fractures can impair mobility and may require surgery, particularly when it involves the hip or long bones like the femur.