Question

A young male sustained a gunshot wound to the abdomen during an altercation with a rival gang member. As your partner is assessing and managing his airway, you should control any obvious bleeding and then_____?

Answer 1

After controlling bleeding, next steps include treating for shock, monitoring the patient, ensuring IV access and fluids are ready, and preparing for rapid transport if there's internal hemorrhage.

Step-by-step explanation:

After controlling any obvious bleeding, you should assess for and treat shock, and monitor for any changes in the patient's condition. Given the risk of significant blood loss from a gunshot wound, having appropriate access and fluids to manage potential blood loss is critical. These fluids could include crystalloid solutions, like normal saline or Ringer's lactate, or blood products, depending on the severity of the blood loss and the resources available. Observing the patient for signs of internal bleeding, such as changes in skin color, confusion, weakness, or a dropping blood pressure, is also vital. If internal hemorrhage is suspected, prepare for rapid transport to a medical facility where surgical intervention can be provided.