A 35-year-old male is airlifted after a car accident with signs of internal bleeding. He is hypotensive, tachycardic, and has cool, clammy skin. What is the most appropriate immediate intervention to manage his condition?
The patient is showing signs of hypovolemic shock due to significant blood loss. Administering isotonic IV fluids is the most appropriate initial intervention to restore intravascular volume and improve perfusion. Vasopressors can worsen peripheral perfusion in hypovolemic shock until volume is adequately restored. Blood products would be the next step if the patient does not respond to initial fluid resuscitation.
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BCEN CFRN
Resuscitation Principles
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