Question

A 32-year-old man is involved in a high-speed motor vehicle collision. In the trauma bay he is pale, tachycardic at 130 beats/min and hypotensive at 80/40 mmHg with a distended abdomen. According to trauma principles used in Canada, which is the most appropriate early resuscitation strategy?

Accepted Answer

Permissive hypotension with balanced blood product transfusion and rapid operative haemorrhage control

Answer

Large-volume crystalloid resuscitation targeting normal blood pressure before definitive haemorrhage control

Answer

Delay transfusion until cross-matched blood is available

Answer

Administer vasopressors as the primary treatment for hypotension

Answer

Give high-dose steroids to prevent spinal shock

Practice question

A 32-year-old man is involved in a high-speed motor vehicle collision. In the trauma bay he is pale, tachycardic at 130 beats/min and hypotensive at 80/40 mmHg with a distended abdomen. According to trauma principles used in Canada, which is the most appropriate early resuscitation strategy?