A heart rate less than 45 bpm and blood pressure under 90 mmHg require treatment in consultation with ARV and the receiving unit. If necessary, perform a FAST scan.
Consider the need for FAST (Focused Assessment with Sonography in Trauma) if available and if staff are trained in its use. FAST is used primarily to detect pericardial and intraperitoneal blood, and it is more accurate than any physical examination finding for detecting an intra-abdominal injury13.