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HardEmergencyHaemodynamically unstable blunt abdominal traumaca-mccqe1ca-rcpsc-em

A 24-year-old man presents 18 hours after a high-speed motor vehicle collision with increasing abdominal pain and tachycardia. Focused abdominal sonography for trauma (FAST) is indeterminate. Haemoglobin has dropped from 140 g/L to 90 g/L. He remains hypotensive despite fluids. What is the most appropriate next step?

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