Victim of multiple stab wounds to the trunk, severe abdominal pain, large wound at thigh, FAST positive for intra-abdominal free fluid indicating massive bleeding. What is the next... Victim of multiple stab wounds to the trunk, severe abdominal pain, large wound at thigh, FAST positive for intra-abdominal free fluid indicating massive bleeding. What is the next step in management? A. Supplemental oxygen B. IV crystalloids via 2 wide bore cannula.
Understand the Problem
The question describes a clinical scenario involving a patient who has sustained multiple stab wounds and is exhibiting significant signs of internal bleeding. It asks for the next step in management for this trauma case, specifically indicating the need for immediate intervention.
Answer
IV crystalloids via 2 wide bore cannula.
The final answer is IV crystalloids via 2 wide bore cannula.
Answer for screen readers
The final answer is IV crystalloids via 2 wide bore cannula.
More Information
In cases of trauma with signs of massive bleeding, such as positive FAST for intra-abdominal free fluid, rapid fluid resuscitation is crucial. Using IV crystalloids through two wide bore cannulas helps restore blood volume effectively.
Tips
A common mistake is choosing supplemental oxygen over fluid resuscitation. While oxygen is important, immediate fluid resuscitation is critical to maintaining hemodynamic stability in cases of significant hemorrhage.
Sources
- Blunt Abdominal Trauma - StatPearls - NCBI Bookshelf - ncbi.nlm.nih.gov
- Overview of Abdominal Trauma - Injuries; Poisoning - Merck Manuals - merckmanuals.com
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