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ATLS Exam
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A 34-year-old male involved in a high-speed motor vehicle collision is brought to the trauma bay. He is hemodynamically unstable with a blood pressure of 88/50 mmHg and a heart rate of 125 bpm. A FAST exam is performed and is positive for free fluid in the hepatorenal space (Morison's pouch). According to ATLS principles, what is the most appropriate next step in management?
Administer a second 1L bolus of crystalloid and repeat the FAST exam.
Obtain an urgent CT scan of the abdomen and pelvis with intravenous contrast.
Perform an immediate exploratory laparotomy.
Perform a diagnostic peritoneal lavage (DPL) to confirm hemoperitoneum.
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Correct Answer:
Perform an immediate exploratory laparotomy.
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