A 12-day-old infant arrives with sudden bilious vomiting and lethargy. Triage acuity is ESI 1; BP 58/32 mm Hg, HR 188/min, capillary refill 5

Question

A 12-day-old infant arrives with sudden bilious vomiting and lethargy. Triage acuity is ESI 1; BP 58/32 mm Hg, HR 188/min, capillary refill 5 seconds. Abdomen is distended and tender. Point-of-care glucose is normal. Which of the following is the most important immediate intervention?

Accepted Answer

Begin resuscitation and obtain emergent pediatric surgical consultation

Answer

Give antiemetics and observe for 6 hours

Answer

Schedule outpatient upper GI series

Answer

Discharge after oral rehydration

Answer

Administer loperamide

Malrotation with volvulus — ABEM Board MCQ

A 12-day-old infant arrives with sudden bilious vomiting and lethargy. Triage acuity is ESI 1; BP 58/32 mm Hg, HR 188/min, capillary refill 5 seconds. Abdomen is distended and tender. Point-of-care glucose is normal. Which of the following is the most important immediate intervention?