First 30 seconds
- 1ABCDE, 2× large-bore IV, cross-match 6 U
- 2Permissive hypotension SBP 70–90 (avoid over-resus)
- 3Immediate vascular surgery
Rupture of abdominal aortic aneurysm.
A
Airway
- • Patency, protect
- • Adjuncts / definitive airway
B
Breathing
- • RR, SpO₂
- • O₂ to target sats
C
Circulation
- • HR, BP, IV access
- • Fluids/vasopressors
D
Disability
- • AVPU/GCS, pupils, glucose
E
Exposure
- • Full exposure, bleeding, source
