You are transporting an alert and oriented male who sustained severe abdominal trauma in an assault. The primary survey indicates a patent airway with respirations of 24 breaths per minute. Breath sounds are present bilaterally. The patient has a rapid and weak radial pulse of 144 beats per minute, and his skin is pale and cool. The blood pressure is 92/64 mmHg and SpO2 is 92%. Best management of the respiratory and oxygenation parameters would include:

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. 

Show less