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Pregnant trauma with possible intra-abdominal injury — RCPSC EM MCQ

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HardTraumaPregnant trauma with possible intra-abdominal injuryRCPSC EM

A 31-year-old pregnant patient at 28 weeks is involved in a rollover crash. She is haemodynamically stable with abdominal tenderness and seatbelt sign. Fetal heart tones are present. FAST is equivocal. What is the most appropriate investigation?

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Correct answer: B — CT trauma imaging as indicated for maternal injury

In pregnant trauma, maternal stabilisation and diagnosis drive fetal outcome. Indicated CT should not be withheld when significant maternal injury is possible.

Reference: CAEP Clinical Practice Guidelines