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Penetrating abdominal trauma with shock — ABEM Board MCQ

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ModerateTraumaPenetrating abdominal trauma with shockABEM Board

A 25-year-old man arrives as ESI 2 with a gunshot wound to the abdomen. BP 86/48, HR 136, diffuse peritonitis, and FAST shows free fluid. Which of the following is the most appropriate next step in management?

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Correct answer: C — Proceed to emergent laparotomy after resuscitation is initiated

Penetrating abdominal trauma with shock, peritonitis, and free fluid requires emergent operative management.

Reference: ATLS 10th edition; EAST penetrating abdominal trauma guideline