BCEN CFRN Practice Question

A retroperitoneal hemorrhage is strongly suggested by the presence of hypotension, tachycardia, and severe pain radiating to the back or flank. Developing flank ecchymosis is also a key indicator of bleeding into the retroperitoneal space. This combination of findings, especially with a soft abdomen, points away from intraperitoneal injuries. During transport, close monitoring of vital signs and rapid transport to a facility capable of managing severe hemorrhage is essential. Splenic and liver trauma are intraperitoneal injuries, and while they cause hemorrhage, the classic pain pattern and physical signs may differ (e.g., Kehr's sign for spleen). Hollow organ perforation typically presents with peritonitis (e.g., rigid abdomen) rather than primarily hemorrhagic shock.