Trauma with Stab Wounds and Haemorrhage

You are the anaesthetist on-call for trauma in a major tertiary hospital. You have been asked to attend the Emergency Department for a 48-year-old man brought in by paramedics with stab wounds following a pub fight in a regional town two hours away. He has no previous medical conditions and no known allergies. You notice that he is obese. He is irritable but is obeying commands. He has a cut and bruising over his left eye. There are wounds on his abdomen covered by blood-soaked gauze packs, and further wounds on his leg, with a tourniquet on his upper thigh. His observations are: Heart rate 125 bpm Blood pressure 110/68 mmHg Respiratory rate 26 breaths per minute SpO2 96% on 10L O2/min via Hudson mask The ED physician tells you that an eFAST scan is positive. The surgeon asks if you are able to go straight to theatre for exploratory laparotomy.