32-year-old Man in Surgery — 32yo Man | Trauma Surgery | SMLE Q#17233

SMLE Question #17233

Surgery Trauma Surgery

Objective: OBJ-TRM-AIRWAY-01

Last updated: February 2026
A 32-year-old man is brought to the emergency department after a high-speed road-traffic accident. He is unconscious (GCS 6). Primary survey shows marked pelvic instability on gentle compression, deformity of both lower limbs suggestive of long-bone fractures, and multiple abdominal and chest contusions. There is no obvious external bleeding. FAST is equivocal, and uncrossmatched blood is being prepared. What is the most appropriate immediate management step to address his hemodynamic instability?

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