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486 Surgery

A 60-year-old man is hit by a pickup truck and brought to the emergency department with a blood pressure of 70/0 mm Hg. Peritoneal lavage showed no blood in the abdomen. The blood pressure is elevated to 85 systolic following the administration of 2 L of Ringer’s lactate. An x-ray showed a pelvic fracture. What is the next step in management?

AExploratory laparotomy with packing of the pelvis
BCT scan of the pelvis
CExternal fixation of the pelvis
DOpen reduction and internal fixation (ORIF) of the pelvis
Surgery
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