What is the recommended initial action for suspected ectopic pregnancy presenting with shock?

• A. Schedule imaging after stabilization
• B. Treat for shock and provide rapid transport
• C. Administer antibiotics only
• D. Observe and monitor

Answer: (B)

In this scenario, the priority is resuscitation and getting the patient to definitive care as quickly as possible. A suspected ectopic pregnancy presenting with shock usually means intra-abdominal hemorrhage from a ruptured tube, which can rapidly become life-threatening. The first action is to treat the patient for shock: ensure an open airway and give high‑flow oxygen, establish two large-bore IV lines, start aggressive isotonic fluids, and be ready to administer blood products if hemorrhage is significant. The goal is to restore perfusion and stabilize the patient enough to move promptly to a facility where emergency surgical intervention can be performed. Imaging or waiting for test results would delay lifesaving care, so they should not delay resuscitation and rapid transport.