PALS Emergency Department Hypovolemia Scenario

The quiz
Parents arrive with their 10-year-old with abdominal injuries caused by a bicycle accident. The mother reports that it happened about 4 hours ago, but he seems to be getting worse. The patient was wearing a helmet and there was no loss of consciousness. The patient is in obvious pain and says it is getting worse. Spinal injury has been ruled out. Vitals as follows: HR 130/min BP: 110/50mmHg Respirations: 30/min Sp02 92% on room air. Temperature 98.6 F Weight: 40 kg

about 3-5 minutes