Deformity in Surgery — 27yo Man | Trauma Surgery | SMLE Q#18327
SMLE Question #18327
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 motorcycle crash. He is unconscious, pale, and diaphoretic. Examination shows pelvic instability with deformity and extensive perineal bruising. FAST shows no intraperitoneal free fluid. Pelvic radiograph shows an open-book pelvic fracture, and ongoing pelvic hemorrhage is suspected. What is the most appropriate initial management step?
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