Approach to blunt and penetrating abdominal injury Quiz: Ace Your Exams
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A 22-year-old man is transported to the emergency department after sustaining a gunshot wound to the abdomen. Paramedics report the patient was shot once in the abdomen and subsequently fell to the ground. The patient has no significant past medical history and does not take any medication. Temperature is 36°C (96.5°F), pulse is 120/min, respirations are 22/min, blood pressure is 86/54 mmHg, and oxygen saturation is 92% on room air. The patient appears disoriented, confused, and lethargic. He does not respond to voice or painful stimuli. Examination reveals capillary refill of 4-5 seconds, a Glasgow coma scale (GCS) of 6, and normal breath sounds bilaterally. A single gunshot wound is seen in the upper abdomen. Which of the following should be performed next before proceeding to the remainder of the trauma evaluation?
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