Bladder injury Quiz: Ace Your Exams
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A 32-year-old man is brought to the emergency department by EMS after colliding with a car while riding his bicycle. He was struck from the right side by the vehicle and thrown from his bike. His Glasgow Coma Scale is 15, and he is reporting severe pelvic pain. Temperature is 37.0°C (98.6°F), pulse is 118/min, respiratory rate is 22/min, blood pressure is 86/58 mmHg, and oxygen saturation is 97% on room air. There is diffuse ecchymosis across the right lateral and anterior pelvis. The abdomen is distended and there is suprapubic tenderness. Compression over the iliac crests produces pain and reveals vertical instability on the right side. Blood is present at the urethral meatus. IV access is obtained. Which of the following is the best next step in management?
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