Visible Muscle in Surgery — 27yo Man | Trauma Surgery | SMLE Q#17132
SMLE Question #17132
Surgery
Trauma Surgery
Objective: OBJ-TRM-AIRWAY-01
Last updated: February 2026
A 27-year-old man is brought to the emergency department after a motor vehicle collision. He has a 4 cm deep laceration over the mid-anterior right thigh with visible muscle and exposed femur. The wound is actively oozing blood without pulsatile bleeding. Distal pulses are palpable, and capillary refill in the foot is 2 seconds. After a rapid primary survey confirms an intact airway and stable breathing, what is the most appropriate initial treatment for this thigh wound?
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