Severe Pain in Surgery — 32yo Man | Orthopedics | SMLE Q#6150
SMLE Question #6150
Surgery
Orthopedics
Objective: OBJ-316
Last updated: January 2026
A 32-year-old man presents to the emergency department after a fall from a ladder with severe pain and deformity in his right thigh. Vital signs: T: 36.9 °C, BP: 124/78 mmHg, HR: 86 /min, RR: 16 /min, SpO2: 98% on room air. X-ray confirms an isolated closed mid-shaft fracture of the right femur. He is hemodynamically stable and has no other injuries. Distal pulses, motor function, and sensation in the right leg are intact. What is the immediate management priority for this patient?
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