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Intubation and mechanical ventilation
4%
3/78
CT scan of abdomen and pelvis
5%
4/78
Fluid resuscitation via 2 large bore IVs
76%
59/78
Ultrasound of the abdomen and pelvis
14%
11/78
Allow to leave without any further intervention
0%
0/78
Select Answer to see Preferred Response
This patient is hemodynamically unstable and requires urgent IV fluid resuscitation through 2 large bore IVs. It is important to secure air, breathing, and circulation initially before continuing with the diagnosis and treatment of a patient. The evaluation of trauma patients should follow the systematic approach the Advanced Trauma Life Support program, progressing through the primary, secondary, and tertiary survey. The primary survey initially focuses on the ABC's: Airway maintenance with cervical spine protection, Breathing and ventilation, and Circulation with hemorrhage control. As this patient is hemodynamically unstable due to hypovolemic shock, it is necessary to stabilize the patient with crystalloid solution via 2 large bore IVs. His airway and breathing are not compromised, thus fluid resuscitation should be the initial step in the management of this patient. Incorrect Answers: Answer 1: This patient has a secured airway and breathing, and thus intubation and mechanical ventilation is not necessary at this time. Answer 2: CT could be a potential diagnostic step, but fluid resuscitation should be performed first. Answer 4: Focused Assessment with Sonography for Trauma is an appropriate step in evaluation of a trauma patient, but fluid resuscitation should be performed first. Answer 5: This choice would be inappropriate as this patient is hemodynamically unstable.
4.8
(5)
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