A 29-year-old has been stabbed in the abdomen with no head injury. He is conscious, the radial pulse is weak and the systolic pressure is 78 mmHg.

Question

A 29-year-old has been stabbed in the abdomen with no head injury. He is conscious, the radial pulse is weak and the systolic pressure is 78 mmHg. The scene is controlled, blood is available, and the major trauma centre is 20 minutes away.

Accepted Answer

Titrate blood products to maintain a palpable radial pulse and transport rapidly.

Answer

Withhold fluids entirely until arrival at hospital.

Answer

Give tranexamic acid together with a two-litre crystalloid bolus.

Answer

Aim for a systolic pressure of 140 mmHg in order to maintain organ perfusion during transfer.

Answer

Infuse crystalloid to restore a systolic pressure of 120 mmHg.

Penetrating torso trauma (permissive hypotension) — DIPIMC MCQ

A 29-year-old has been stabbed in the abdomen with no head injury. He is conscious, the radial pulse is weak and the systolic pressure is 78 mmHg. The scene is controlled, blood is available, and the major trauma centre is 20 minutes away.