Question

A 28-year-old man is brought to the ED after a high-speed motor vehicle collision. He is unconscious with a GCS of 7, BP 80/40 mmHg, pulse 132 bpm and SpO2 91% on high-flow oxygen. FAST scan shows free fluid in the abdomen. What is the most appropriate next step in management?

Accepted Answer

Immediate laparotomy for presumed intra-abdominal haemorrhage

Answer

Urgent CT abdomen with contrast

Answer

Wait for blood results before deciding on surgery

Answer

Diagnostic peritoneal lavage

Answer

Intravenous tranexamic acid only and observation

Practice question

A 28-year-old man is brought to the ED after a high-speed motor vehicle collision. He is unconscious with a GCS of 7, BP 80/40 mmHg, pulse 132 bpm and SpO2 91% on high-flow oxygen. FAST scan shows free fluid in the abdomen. What is the most appropriate next step in management?