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Pregnant trauma — RCPSC EM MCQ

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HardTraumaPregnant traumaRCPSC EM

A 31-year-old at 32 weeks' gestation is involved in a rollover crash. BP is 90/54 mmHg, HR 126/min, and she has abdominal tenderness. Fetal heart rate is 170/min, FAST is equivocal, and the obstetric team is en route. What is the most appropriate initial management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Prioritise maternal resuscitation with left uterine displacement and trauma imaging as indicated

Prioritise maternal resuscitation with left uterine displacement and trauma imaging as indicated is correct: the clues indicate Pregnant trauma and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: ATLS; Canadian trauma in pregnancy guidance