Urgent surgery for a ruptured abdominal aortic aneurysm

An elderly man presents to ED with worsening pain. What’s the next move?
Axial ct abdominal aortic aneurysm
Figure 1. Axial CT demonstrating ruptured 7cm abdominal aortic aneurysm.

Bill, a normally well 74-year-old, presents to the emergency department of a regional Queensland hospital via ambulance.

He complains of central to right-sided abdominal pain that has been brewing over the previous 48 hours. He first noticed the pain in the hypogastric region, with variable intensity.