On 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 hold manual in-line spinal stabilization. The airway is patent and respirations adequate. His radial pulse is rapid and weak and skin is cool and diaphoretic. The EMRs report the following vital signs: pulse 136, respirations 20, blood pressure 100/68, and SpO₂ 98% with 15 liters of O₂ being administered through a nonrebreather mask. The right forearm is deformed, and the head, chest, and upper back are uninjured according to your assessment. Your next action would be to:

Question

Quizplus · Accepted Answer

Given the patient's rapid and weak pulse, cool and diaphoretic skin, and the mechanism of injury (extensive front-end damage and a deformed steering wheel), there is a high suspicion for internal injuries, possibly in the abdomen. The patient's vital signs indicate shock, likely from internal bleeding. Checking the abdomen for injury is a critical next step to assess for further signs of internal trauma.

On Scene of a Motor Vehicle Accident, a Car Has