Question

A 22-year-old pedestrian is struck by a car. He is hypotensive (BP 80/50 mmHg) and tachycardic (HR 130 bpm). FAST ultrasound shows fluid in the peritoneal cavity. What is the next step in management?

Accepted Answer

Immediate laparotomy

Answer

CT scan with contrast

Answer

Diagnostic peritoneal lavage

Answer

Angiography

Answer

Focused repeated ultrasound in 1 hour

Practice question

A 22-year-old pedestrian is struck by a car. He is hypotensive (BP 80/50 mmHg) and tachycardic (HR 130 bpm). FAST ultrasound shows fluid in the peritoneal cavity. What is the next step in management?