Massive Active Bleeding From in Surgery — 32yo Man | Trauma Surgery | SMLE Q#7425
SMLE Question #7425
Surgery
Trauma Surgery
Objective: OBJ-TRM-AIRWAY-01
Last updated: February 2026
A 32-year-old man is brought to the emergency department 20 minutes after a high-speed motor vehicle collision. He is conscious, speaking in full sentences, with massive active bleeding from the nose and mouth and facial swelling but no obvious airway obstruction. His right thigh is deformed and swollen with severe pain. Vital signs: BP 80/50 mmHg, HR 134/min. According to ATLS principles, what is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.