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A 56-year-old male presents after sustaining a head-on MVC. Patient was a level 1 trauma transfer in hemorrhagic shock. Patient received 2 units of packed red blood cells in the trauma bay. Patient was the restrained front seat passenger in a head-on MVC on the highway. There is significant damage to the vehicle and required 45 minutes of extrication time. Patient has a history of chronic pain is on opiate medication at baseline. Patient complaining of pain to his right hip and right-sided ribs.
Depression, low back pain, GERD, Hypertension
Focused exam of the left lower extremity demonstrates the right leg is shortened and externally rotated. Compartments are soft. No open wounds. Neurovascularly in tact distally.