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Which of the following initial management steps would you advise for this man?
When you explain the risks associated with the leaking packages, this man mentions he has some abdominal pain.
He consents to a low dose CT abdomen and pelvis which shows approximately 25 packages in his small bowel and caecum. You arrange in-patient admission for monitoring.
What treatment could you consider?
While waiting for admission, he becomes agitated, tachycardic and hypertensive. His ECG shows a QRS duration of 140ms and corrected QT duration of 560ms.
Which essential treatment would you administer first?