A 72-year-old male complains of the sudden onset of a 'tearing' abdominal pain that radiates to his back. He is pale, diaphoretic, and has a blood pressure of 82/54 mmHg with a heart rate of 124 bpm. A pulsatile mass is palpable just superior to the umbilicus. Which of the following is the most appropriate prehospital fluid management strategy for this patient?
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A
Administer 2-3 liters of normal saline as rapidly as possible to raise systolic BP above 120 mmHg.
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B
Withhold all IV fluids to avoid hemodilution and worsening coagulopathy.
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C
Establish large-bore IV access and administer fluid boluses judiciously to maintain a systolic BP of 70-80 mmHg or presence of a radial pulse.
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D
Administer a 500 mL bolus of 5% Dextrose in water to provide free water and support cellular function.