You are transporting a 32-year-old pregnant trauma patient who is 26 weeks gestation. She was involved in a motor vehicle accident and presents with abdominal pain and signs of shock. What is the most appropriate initial action in managing this patient?
Place the patient in the left lateral tilt position
The most appropriate initial action is to ensure adequate uterine perfusion by optimizing maternal hemodynamic stability. Placing the patient in the left lateral tilt position helps to displace the uterus off the inferior vena cava, which can improve venous return and cardiac output. While administering fluids and monitoring fetal heart tones are essential steps, ensuring adequate maternal hemodynamic stability is the first priority. Administering medications for pain management is important but not the initial priority.
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