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Pregnant trauma imaging — RCPSC EM MCQ

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HardTraumaPregnant trauma imagingRCPSC EM

CTAS 2. A 27-year-old at 28 weeks' gestation is struck by a car. BP is 92/54 mmHg, HR 128, abdominal tenderness is present, and FAST is equivocal. Fetal heart rate is 170/min. Chest and pelvic x-rays are unrevealing. What is the most appropriate investigation?

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Correct answer: BCT trauma imaging guided by maternal injuries

Maternal stabilization is the priority in pregnant trauma; indicated CT imaging should not be withheld when serious injury is suspected.

Reference: CETARS/CAR Practice Guideline on Imaging the Pregnant Trauma Patient, 2024