Cool in Surgery — 28yo Man | Trauma Surgery | SMLE Q#18420
SMLE Question #18420
Surgery
Trauma Surgery
Objective: OBJ-TRAUMA-SHOCK-001
A 28-year-old man is brought to the emergency department after a high-speed road traffic collision. On arrival he is anxious and pale with cool, clammy extremities. He has a visibly deformed left thigh with active bleeding and diffuse abdominal tenderness. Vital signs: T 36.6
0b0C, BP 78/42
0mmHg, HR 132/min, RR 26/min, SpO2 96% on room air. He has no obvious focal neurologic deficits and is moving all limbs.
What is the most likely diagnosis?
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