What is the primary prehospital management for suspected abdominal aortic aneurysm?

• A. Rapid Transport
• B. Defibrillate
• C. Administer diuretics
• D. Place in Trendelenburg

Answer: (A)

Rapid transport to definitive surgical care is the primary prehospital management for suspected abdominal aortic aneurysm. An AAA can rupture and cause life-threatening bleeding, so the main goal is to get the patient to a facility where they can be surgically treated as quickly as possible. While awaiting transport, keep the patient supine to optimize venous return, provide high-flow oxygen if needed, monitor vitals, establish IV access, and keep them warm. Avoid delaying transport with unnecessary procedures, and do not use diuretics or Trendelenburg positioning, as these do not help and can worsen the patient’s condition. Defibrillation is not indicated for this scenario.