A 28-year-old man presents to the ED after a high-speed motor vehicle collision. He is hypotensive and tachycardic. Focused Assessment with Sonography...

Question

A 28-year-old man presents to the ED after a high-speed motor vehicle collision. He is hypotensive and tachycardic. Focused Assessment with Sonography for Trauma (FAST) is positive for free fluid in the abdomen. He is unresponsive to initial fluid resuscitation. What is the most appropriate next step?

Accepted Answer

Exploratory laparotomy

Answer

CT scan of the abdomen with IV contrast

Answer

Diagnostic peritoneal lavage

Answer

Observation in the ICU with serial exams

Answer

Angiography with embolization

us-abem MCQ (SBA): Blunt Abdominal Trauma with Hemoperitoneum