Emergency Medicine Shelf Practice Questions - NBME Advanced Clinical Science Subject Exam Emergency Medicine Exam

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A 29-year-old man is brought after a high-speed collision. He is pale and diaphoretic with blood pressure 72/38 mm Hg, heart rate 142/min, cool extremities, and a distended abdomen. Bedside FAST shows free intraperitoneal fluid. What is the best immediate management?

Administer 4 liters of crystalloid and observe for response Activate massive transfusion and take him for emergent operative hemorrhage control Obtain a CT scan of the abdomen before any intervention Give intravenous heparin for possible pulmonary embolism

Correct Answer:

Activate massive transfusion and take him for emergent operative hemorrhage control

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