Editing Ruptured AAA (section)

=== Initial management ===

** Immediate vascular consult
** Permissive hypotension - SBP around 80
*** Maintain consciousness, minimise organ ischaemia, prevent ST depression
*** Be very judicious with fluids. Increased fluids increases mortality. Overall risk of harm is low if the diagnosis is wrong.
*** Blood or fluids can be given
** Dual large-bore access
** Art line?
** IDC?
** Crossmatch
** Avoid intubation if they can protect own airway
** CT-A would be very useful if possible - look for periaortic stranding to suggest imminent rupture - however the patient has to be well enough to go to CT
** NGT