CTAS 1: A 36-year-old with penetrating abdominal trauma needs intubation for agitation and shock. Vitals are BP 72/40, HR 142, SpO2 93% on oxygen.

Question

CTAS 1: A 36-year-old with penetrating abdominal trauma needs intubation for agitation and shock. Vitals are BP 72/40, HR 142, SpO2 93% on oxygen. FAST is positive, massive transfusion is running and norepinephrine is available. GCS is 8. What is the most appropriate next step?

Accepted Answer

Prepare resuscitation before induction and use haemodynamically stable dosing

Answer

Delay airway until CT identifies the bleeding source

Answer

Use high-dose benzodiazepine induction without vasopressors ready

Answer

Give a full standard propofol dose before blood products

Answer

Avoid paralysis because hypotension is present

RSI in haemorrhagic shock — RCPSC EM MCQ

CTAS 1: A 36-year-old with penetrating abdominal trauma needs intubation for agitation and shock. Vitals are BP 72/40, HR 142, SpO2 93% on oxygen. FAST is positive, massive transfusion is running and norepinephrine is available. GCS is 8. What is the most appropriate next step?