MRCEM Intermediate SBA Practice Questions - MRCEM Intermediate SBA Exam

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A 70-year-old man with a known abdominal aortic aneurysm presents with sudden severe back pain and is hypotensive. He is haemodynamically borderline. What blood pressure target best describes the principle of permissive hypotension while awaiting surgery?

Maintain MAP above 90 mmHg with aggressive fluids Aim for a systolic of around 90 mmHg / palpable radial pulse Restore systolic to the patient's baseline of 140 mmHg Avoid all fluids until in the operating theatre

Correct Answer:

Aim for a systolic of around 90 mmHg / palpable radial pulse

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