Fracture of femur, shock (899/1700)

A young male met with a RTA and is suspected to have a femur fx. His BP is 90/60mmHg. What is the next immediate action?

a. XR
b. IV fluids
c. Put leg splint
d. Send bloods for inv
e. US









































answer: C

Source: Apley system of Orthopaedics and fractures 9th ed 2010 (considered the bible of ortho)

note, external bleeding is referenced above, however the same principle applies to closed limb bleeds causing catastrophic hemorrhage: