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Pregnant trauma imaging — RCPSC EM MCQ

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HardTraumaPregnant trauma imagingRCPSC EM

CTAS 2: A 28-week pregnant patient has abdominal pain after a high-speed MVC. Vitals are BP 96/60, HR 118. FAST is equivocal and fetal heart rate is 170. There is seatbelt bruising and persistent left upper-quadrant tenderness after initial resuscitation. What is the most appropriate investigation?

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Correct answer: A — CT abdomen and pelvis with IV contrast

Maternal stabilisation and accurate diagnosis drive fetal outcome. Necessary CT imaging should not be withheld in significant pregnant trauma when it changes management.

Reference: CETARS/CAR imaging the pregnant trauma patient guideline; ATLS pregnancy trauma