us-abem MCQ (SBA): Blunt abdominal trauma with hypotension

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HardEmergency MedicineBlunt abdominal trauma with hypotensionus-abemus-usmle-step-2us-usmle-step-3

A 25 year old man is brought to the emergency department after a high speed motor vehicle collision. He is unconscious. Primary survey shows a patent airway, breathing with bilateral breath sounds, and blood pressure 80 over 40 mm Hg with tachycardia 130 per min. There is a distended abdomen. According to advanced trauma life support principles, what is the next best step?

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us-abem MCQ: Blunt abdominal trauma with hypotension — Answer & Explan