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[size=20px]A 15-year old boy is admitted with a grade 4 splenic injury after a bicycle crash. Which of the following is an indication for admission to the intensive care unit?

 

A need for transfusion

 

B requiring 20 ml/kg crystalloid resuscitation

 

C hemoglobin of 8 g/dl

 

D abnormal vital signs after initial volume resuscitation

 

E grade 4 splenic laceration[/size]

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