Brief Loss Of Consciousness in Surgery — 29yo Man | Trauma Surgery | SMLE Q#1182

SMLE Question #1182

Surgery Trauma Surgery

Objective: OBJ-TRM-AIRWAY-01

Last updated: February 2026
A 29-year-old man is brought to the emergency department after a high-speed motor vehicle collision. He was a restrained driver with brief loss of consciousness. He is awake but in distress with severe diffuse abdominal pain. Examination shows a rigid abdomen with generalized tenderness and guarding, and absent bowel sounds. No external bleeding is seen. Pelvic radiograph shows no fracture. After airway protection and initial resuscitation, what is the most appropriate next step in management?

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