A 45-year-old male is transported via helicopter after a motor vehicle accident. During transport, the patient begins to experience increasing abdominal distension, hypotension, and respiratory distress. The flight nurse suspects abdominal compartment syndrome. Which initial intervention is most appropriate to manage this condition?
The most appropriate initial intervention for suspected abdominal compartment syndrome (ACS) is decompression of the abdomen, ideally through surgical means. While managing the patient's blood pressure and respiratory status are also critical, decompression directly addresses the underlying issue causing the symptoms of ACS. Administering fluids or vasopressors alone may not be sufficient to relieve the increased intra-abdominal pressure.
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