This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': 'A case of blunt trauma is brought to the emergency, in a state of shock; he is not responding to IV crystalloids; next step in his management would be: \nSelect and explain. \nA. Immediate laparotomy, B. Blood transfusion, C. Albumin transfusion, D. Abdominal compression', 'role': 'user'}, {'content': 'Answer: A \nExplanation: A patient not responding to fluids is likely to have a continuous source of bleeding. An exploratory laparotomy to identify the source & appropriate management of the same, would be the best next step. Ref: CSDT, 11th Edition, Pages 252, 249.', 'role': 'assistant'}]