MediumEmergencyBlunt abdominal trauma with haemodynamic instabilityau-acemau-amc
A 28-year-old man presents to a rural emergency department with severe generalised abdominal pain, vomiting and shoulder-tip pain after a high-speed motorbike crash. He is tachycardic at 120 beats/min, blood pressure 90/60 mmHg, respiratory rate 24 breaths/min and oxygen saturation 96% on room air. FAST ultrasound shows free fluid in the abdomen. What is the most appropriate next step?