Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Review Question - QID 8198

In scope icon L 4 E
QID 8198 (Type "8198" in App Search)
Figures 60a and 60b are the radiographs of a 42-year-old man who was involved in a motorcycle crash. His vital signs are a pulse of 122 bpm, a blood pressure of 145/88 mm Hg, and a respiratory rate of 24/min. He has some facial trauma but his Glasgow coma scale score is 14. His delta base is -2 mmol/L. His primary and secondary surveys reveal no other injury. What is the most appropriate initial management?
  • A
  • B

Distal femoral traction for both injuries

6%

19/313

External fixation of the pelvis and femur

16%

49/313

External fixation of the pelvis and intramedullary nailing of the femur

56%

175/313

Open reduction of the pelvis and external fixation of the femur

2%

6/313

Nonsurgical management of the pelvis and intramedullary nailing of the femur

18%

56/313

  • A
  • B

Select Answer to see Preferred Response

bookmode logo Review TC In New Tab

The patient is relatively hemodynamically stable and is a candidate for early surgical stabilization of his injuries. The femoral shaft fracture is best managed acutely with definitive intramedullary nailing. The rotationally unstable pelvic ring injury should be addressed at the time of femoral fracture fixation. In this patient, it is best managed acutely by anterior external fixation. Distal femoral traction would not be optimal for either injury.

Authors
Rating
Please Rate Question Quality

1.6

  • star icon star icon star icon
  • star icon star icon star icon
  • star icon star icon star icon
  • star icon star icon star icon
  • star icon star icon star icon

(31)

Attach Treatment Poll
Treatment poll is required to gain more useful feedback from members.
Please enter Question Text
Please enter at least 2 unique options
Please enter at least 2 unique options
Please enter at least 2 unique options