A 64-year-old man with suspected ruptured abdominal aortic aneurysm is at a rural clinic. He is pale, has syncope and a systolic blood pressure of 78

Question

A 64-year-old man with suspected ruptured abdominal aortic aneurysm is at a rural clinic. He is pale, has syncope and a systolic blood pressure of 78 mmHg; the vascular centre is 45 minutes away by road. What is the most appropriate transport decision?

Accepted Answer

Transfer urgently to the vascular centre with pre-alert and permissive resuscitation

Answer

Keep him at the clinic until pain settles

Answer

Give crystalloid to normalise blood pressure before transfer

Answer

Transfer to the nearest minor injury unit for ultrasound

Answer

Wait for routine outpatient vascular advice

Ruptured abdominal aortic aneurysm — DipIMC MCQ

A 64-year-old man with suspected ruptured abdominal aortic aneurysm is at a rural clinic. He is pale, has syncope and a systolic blood pressure of 78 mmHg; the vascular centre is 45 minutes away by road. What is the most appropriate transport decision?