<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 27-year-old man is brought to the emergency department after a motor vehicle accident. He was the unrestrained driver in a head on collision. The patient is responding incoherently and is complaining of being in pain. He has several large lacerations and has been impaled with a piece of metal. IV access is unable to be obtained and a FAST exam is performed. His temperature is 98.2F 36.8C, blood pressure is 9048 mmHg, pulse is 150min, respirations are 13min, and oxygen saturation is 98 on room air. Which of the following is the best next step in management?? A: Administer oral fluids, B: Exploratory laparatomy, C: Obtain intraosseus access, D: Place a central line, E: Reattempt intravenous access,  <response>: This is a trauma patient who has been in a motor vehicle accident. He has multiple injuries including impalement with a metal object. He is responding incoherently and is in pain. IV access could not be obtained and a FAST exam was performed. His vitals show hypotension and tachycardia. The best next step in management would be to secure vascular access to allow for fluid resuscitation and blood transfusion. Intraosseous access provides a rapid means of vascular access when IV access cannot be obtained in an emergency situation. Therefore, option C is likely the best answer. Options A and E are less invasive but will take more time in an urgent trauma situation. Option B is premature without further evaluation and stabilization. Option D may be appropriate after initial stabilization and evaluation.C: Obtain intraosseus access 