At the scene of a motor vehicle accident, a car has extensive front-end damage and a deformed steering wheel. The restrained driver, who was self-extricated, is in the care of EMRs, who have applied a cervical collar and continue to maintain spine motion restriction precautions. The patient's airway is patent and respirations adequate. His radial pulse is rapid and weak, and his skin is cool and diaphoretic. The EMRs report the following vital signs: pulse, 136 beats/min; respirations, 20 breaths/min; blood pressure, 100/68 mmHg; and SpO2, 95% with supplemental O2 being administered. The right forearm is deformed, and the head, chest, and upper back are uninjured according to your assessment. Your next action would be to:

When managing abdominal trauma, EMTs should keep exposed organs sterile and moist. They should also: Remove all clothing Roll the patient to find all injuries, including exit wounds Control bleeding Cover wounds with sterile gauze or abdominal pads Gently drape the pads over the wound Not push abdominal contents back into the body cavity  Early management of abdominal trauma includes: Hemostatic resuscitation Permissive hypotension Damage control surgery Naso/orogastric tube (N/OGT) Urinalysis Imaging  The most reliable signs and symptoms of blunt abdominal trauma in alert... Show more

When managing abdominal trauma, EMTs should keep exposed organs sterile and moist. They should also:
Remove all clothing
Roll the patient to find all injuries, including exit wounds
Control bleeding
Cover wounds with sterile gauze or abdominal pads
Gently drape the pads over the wound
Not push abdominal contents back into the body cavity 

Early management of abdominal trauma includes:
Hemostatic resuscitation
Permissive hypotension
Damage control surgery
Naso/orogastric tube (N/OGT)
Urinalysis
Imaging 

The most reliable signs and symptoms of blunt abdominal trauma in alert patients are: Pain, Tenderness, Gastrointestinal hemorrhage, Hypovolemia, and Evidence of peritoneal irritation. 
The most important initial concern in the evaluation of a patient with blunt abdominal trauma is assessment of hemodynamic stability. 

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