CCS Spleen rupture

HPI 23 yom after MVA.ABCPE;focusLabs:serum glucose and rapid bedside glucose determination CBCserum chemistriesamylaselftsuacoagulation studiesblood type and matchabg, blood ethanolurine drug screens.Bedside u/s, DPL(for unstable), CT(for stable) and emergent surgeon consult.Chest x-ray, supine & erect abdomen x-rayAbdominal sono(er) or abdominal CTVital, Cardiac, and BP monitoring on bed side.Foley cather and Urine output check.Ringer's lactate sol I.V before results from Lab.Transfer to ICU if patient is not stable.