No Obvious External Bleeding in Surgery — 27yo Man | Trauma Surgery | SMLE Q#18134
SMLE Question #18134
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 high-speed motor vehicle collision. He is confused and pale with no obvious external bleeding. His skin is cool and clammy with delayed capillary refill. Airway is patent, and breath sounds are equal bilaterally. What is the most appropriate initial step in management?
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