skip to main content

Hemorrhagic shock — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

EasyTraumaHemorrhagic shockABEM Board

A 26-year-old man arrives after multiple gunshot wounds to the abdomen. Triage acuity is ESI 1; BP 68/40 mm Hg, HR 148/min, skin cool and mottled. FAST is positive in the right upper quadrant and pelvis. Two large-bore IVs are in place. Which of the following is the most important immediate intervention?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Activate massive transfusion with balanced blood products and urgent operative control

Penetrating abdominal trauma with shock and positive FAST requires balanced massive transfusion and immediate surgical hemorrhage control.

Reference: ATLS hemorrhagic shock guidance