Abdominal Trauma — Practice

Q1.Easy

A 45-year-old man is brought to the casualty after a road traffic accident with blunt abdominal trauma. He is conscious, his blood pressure is 90/60 mmHg and pulse is 118/min, which improve transiently after a 2-litre crystalloid bolus but then deteriorate again. Bedside FAST shows free fluid in the abdomen. What is the most appropriate next step in management?

ARepeat FAST after another fluid bolus

BCECT abdomen to localise the source of bleeding

CDiagnostic peritoneal lavage

DEmergency exploratory laparotomy

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