A 32-year-old pregnant woman in her third trimester is involved in a motor vehicle accident and presents with signs of abdominal trauma. What is the INITIAL priority in the pre-hospital care of this patient?
Administering corticosteroids to promote fetal lung maturity
Monitoring fetal heart rate continuously
Transporting the patient to a facility with obstetrical services
Performing a left lateral tilt to avoid supine hypotensive syndrome
The initial priority in the pre-hospital care of a pregnant trauma patient is to ensure the stabilization of the mother. Successful maternal resuscitation generally leads to improved outcomes for the fetus. Airway, breathing, and circulation should be the primary focus. Performing a left lateral tilt aims to prevent compression of the inferior vena cava by the gravid uterus, thereby improving venous return and cardiac output.
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