Following a traumatic injury, a 19-year-old woman presents with confusion, tachycardia, and significant hypotension. Her skin is cool, clammy, and pale. Further assessment reveals abdominal rigidity and deformity with severe pain over her thoracic vertebrae. In addition to administering high-flow oxygen and immobilizing her spine, you should:
A) start at least one large-bore IV line and give crystalloid boluses as needed to maintain adequate perfusion.
B) conclude that she is in neurogenic shock, start an IV line of normal saline, and initiate a dopamine infusion.
C) start at least one large-bore IV of normal saline and administer a narcotic analgesic to treat her severe pain.
D) perform a focused history and physical exam, start an IV of normal saline, and administer a corticosteroid.
Answer: A) start at least one large-bore IV line and give crystalloid boluses as needed to maintain adequate perfusion.
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