A 55-year-old man arrives as ESI 1 after a high-speed MVC. BP 78/44, HR 138, RR 28, SpO2 90%. He has pelvic instability, cool extremities, and a

Question

A 55-year-old man arrives as ESI 1 after a high-speed MVC. BP 78/44, HR 138, RR 28, SpO2 90%. He has pelvic instability, cool extremities, and a positive FAST is not seen; chest x-ray is clear. Which of the following is the most appropriate initial action?

Accepted Answer

Apply a pelvic binder and initiate balanced blood product resuscitation

Answer

Obtain CT abdomen and pelvis with IV contrast

Answer

Give tranexamic acid after 6 hours of observation

Answer

Place bilateral chest tubes

Answer

Administer 2 L crystalloid before transfusion

Pelvic fracture hemorrhage — ABEM Board MCQ

A 55-year-old man arrives as ESI 1 after a high-speed MVC. BP 78/44, HR 138, RR 28, SpO2 90%. He has pelvic instability, cool extremities, and a positive FAST is not seen; chest x-ray is clear. Which of the following is the most appropriate initial action?