Unstable and hypotensive patients after blunt trauma get laparotomies (donโt put an unstable patient in the CT scanner). In addition to saline and blood products, definitive surgery is how you address the C in ABC.
bigjimbono thoracotomy because thats for unstable lung injuries like persistent hemothorax. The question is tricky because it says SOB and ABDOMINAL pain. paired with the green fluid (boerhaave or pancreatic), laparotomy is a safer answer+1
beans123I looked it up and it truly depends on where the rupture is... thoracotomy could very well be the answer for a higher up rupture even if the patient is unstable... +1
submitted by โbwdc(697)
Unstable and hypotensive patients after blunt trauma get laparotomies (donโt put an unstable patient in the CT scanner). In addition to saline and blood products, definitive surgery is how you address the C in ABC.