A patient presents in the emergency department complaining of acute pain abdomen is having high degree of suspicion of a ruptured abdominal aortic aneurysm (RAAA). What measures should be initiated immediately?
  1. Send the patient for abdominal CT scan
  2. Start blood transfusion after grouping and cross-matching
  3. Immediately start resuscitation after ensuring immediate vascular access
  4. Immediate laparotomy to repair the aorta
Explanation
Answer- C - The immediate measure to be started are immediate resuscitation after ensuring immediate vascular access. If RAAA is strongly suspected do not waste time in radiology. Start initial resuscitation including vascular access, ensure availability of blood products. Emergency laparotomy as soon as IV and cross-match sent.
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