Delayed Capillary Refill in Surgery — 27yo Man | Trauma Surgery | SMLE Q#18134
SMLE Question #18134
Surgery
Trauma Surgery
Objective: OBJ-TRM-AIRWAY-01
A 27-year-old man is brought to the emergency department after a high-speed motor vehicle collision. He is confused and pale. There is no obvious external bleeding.
Vital signs:
- T: 36.6 °C
- BP: 78/42 mmHg
- HR: 132 /min
- RR: 26 /min
- SpO2: 96% (RA)
On exam, his skin is cool and clammy with delayed capillary refill. The airway is patent and breath sounds are equal bilaterally. What is the most appropriate initial step in management?
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